Craniofacial Surgical Management of a Patient With Systematic Juvenile Idiopathic Arthritis and Crohn's disease

被引:10
|
作者
Georgios, Kasfikis [1 ]
Helias, Antoniades [1 ]
Athanassios, Kytgidis [1 ]
Eleni, Markovitsi [2 ]
Konstantinos, Antoniades [1 ]
机构
[1] Aristotle Univ Thessaloniki, G Papanikolaou Gen Hosp, Dept Oral & Maxillofacial Surg, GR-54006 Thessaloniki, Greece
[2] Aristotle Univ Thessaloniki, Sch Dent, Dept Orthodont, GR-54006 Thessaloniki, Greece
关键词
Juvenile idiopathic arthritis; Crohn's disease; mandibular osteotomy; genioplasty; RHEUMATOID-ARTHRITIS; EPIDEMIOLOGY; MORPHOLOGY; PATHOLOGY; CHILDREN;
D O I
10.1097/SCS.0b013e3181a14bb4
中图分类号
R61 [外科手术学];
学科分类号
摘要
Juvenile idiopathic arthritis (JIA) is the most common chronic inflammatory disease in early age. It affects one or more joints, lasts more than 3 weeks, and appears in patients younger than 16 years. Juvenile idiopathic arthritis is classified according to the International League of Associations for Rheumatology consensus depending on the number of affected joints in the beginning of the disease. When JIA affects the temporomandibular joint, the development of the mandible is constrained. Patients show a tendency toward retrognathism and a vertical facial development pattern. The purpose of this study was to present a rare case of a young teenager who experienced JIA and Crohn's disease at the same time. The patient was referred to the hospital for aesthetic and functional problems, mainly convex facial profile and obstructive sleep apnea caused by the craniofacial abnormality. The patient was treated by sagittal split mandibular advancement osteotomy and advancement genioplasty. The mechanisms of obstructive sleep apnea development and the surgical treatment through osteotomies are commentated on. The surgical outcome is functionally and aesthetically favorable and solid 2 years after the operation. Surgical management of the craniofacial region can be a problem-solving treatment modality for patients with juvenile arthritis.
引用
收藏
页码:948 / 950
页数:3
相关论文
共 50 条
  • [41] Surgical management of duodenal Crohn's disease
    Yang, Li-Chao
    Wu, Guo-Tao
    Wu, Qiang
    Peng, Liang-Xin
    Zhang, Ya-Wei
    Yao, Bao-Jia
    Liu, Gang-Lei
    Yuan, Lian-Wen
    WORLD JOURNAL OF GASTROINTESTINAL SURGERY, 2023, 15 (06): : 1159 - 1168
  • [42] Surgical management of complicated Crohn's disease
    Ullrich, Sarah J.
    Frischer, Jason S.
    SEMINARS IN PEDIATRIC SURGERY, 2024, 33 (02)
  • [43] Colonic Crohn's disease - Surgical management
    Milsom, JW
    IBD - THE PATIENT IN FOCUS, 1997, 19 (01): : 113 - 119
  • [44] Surgical management of pediatric Crohn's disease
    Carter, Michela
    Lim, Irene Isabel P.
    SEMINARS IN PEDIATRIC SURGERY, 2024, 33 (02)
  • [45] Surgical management in intestinal Crohn's disease
    Funayama Y.
    Takahashi K.-I.
    Sasaki I.
    Clinical Journal of Gastroenterology, 2010, 3 (1) : 1 - 5
  • [46] Surgical management of duodenal crohn's disease
    Mckenna, Nicholas P.
    Bews, Katherine A.
    Mirande, Maxwell D.
    Rendon, Franciso M. Abarca
    Ofshteyn, Asya
    Peponis, Thomas
    Shawki, Sherief F.
    Kelley, Scott R.
    Mathis, Kellie L.
    LANGENBECKS ARCHIVES OF SURGERY, 2024, 409 (01)
  • [47] Diagnosis and management of juvenile idiopathic arthritis
    Prince, Femke H. M.
    Otten, Marieke H.
    van Suijlekom-Smit, Lisette W. A.
    BMJ-BRITISH MEDICAL JOURNAL, 2010, 341 : c6434
  • [48] Management of Children with Juvenile Idiopathic Arthritis
    Vijay Viswanathan
    Kevin J. Murray
    The Indian Journal of Pediatrics, 2016, 83 : 63 - 70
  • [49] Fatal occlusive vessel disease in a patient with systemic juvenile idiopathic arthritis
    Mangge, H
    Heinzl, B
    Grubbauer, HM
    Aschauer, M
    Tillich, M
    JOURNAL OF RHEUMATOLOGY, 2004, 31 (02) : 396 - 396
  • [50] Dental Management in Juvenile Idiopathic Arthritis
    Sahni, Jasjot
    Lamberghini, Flavia
    JOURNAL OF DENTISTRY FOR CHILDREN, 2022, 89 (01) : 18 - 23