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- W2600304449 abstract "Background: Acromegaly is a rare syndrome resulting from a chronic excess in the production of growth hormone, in most cases due to a pituitary adenoma, resulting in a disfiguring disease that reduces life expectancy because of cardiovascular and respiratory complications. Objectives: The aim of this study is to report a case of a 50-year-old acromegalic male patient, whose clinical features include elongated body ends and nose, thickened skin and cheekbones, frontal bossing, severe prognathism, dental malocclusion and macroglossia. Methods: The patient underwent surgical removal of the pituitary adenoma, and his growth hormone levels were normalised, however he still had masticatory complaints. To treat the prognatism was performed a orthognathic surgery using virtual planning software three-dimensional involving only a maxillary advancement of 15 mm. Findings: It was observed that the patient had a reduced airway, common in patients with acromegaly. It was also observed the presence of a mandibular ramus purely with cortical bone and minimum thickness, making a mandibular surgery prone to mandible fractures and airway obstruction. Conclusion: The treatment of maxillomandibular discrepancies in patients with acromegaly is not always possible to improve the aesthetics and function at the same time by dividing the surgical movements between the two jaws because the airway differences in these patients and individual factors related to bone structure. The patient was followed-up for 1 year without recurrences." @default.
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- W2600304449 date "2017-03-01" @default.
- W2600304449 modified "2023-09-26" @default.
- W2600304449 title "Large maxillary advancement to treat a prognathic profile in an acromegalic patient with a narrow airway and a thin mandibular ramus" @default.
- W2600304449 doi "https://doi.org/10.1016/j.ijom.2017.02.1110" @default.
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