Akromegali Tanılı Bir Hastada Maksillofasiyal Deformitenin Ortognatik Cerrahi ile Rekonstrüksiyonu: Olgu Sunumu”

Year 2025, Volume: 4 Issue: 3, 66 - 70, 23.09.2025

Gunel Mustafayeva , Hasan Asadov

Abstract

Bu olgu sunumunda, akromegaliye bağlı gelişen maksillofasiyal deformitenin ortognatik cerrahi ile düzeltilmesi anlatılmaktadır. Pituiter adenom öyküsü olan 21 yaşındaki erkek hasta, mandibular prognatizm ve yüz asimetrisi şikayetleri ile kliniğimize başvurdu. Hormonal stabilizasyon sağlandıktan sonra, 20 aylık ortodontik hazırlığın ardından Le Fort I osteotomisi ve bilateral sagital split osteotomi uygulandı. Postoperatif sefalometrik analiz, iskeletsel ilişkilerde düzelme olduğunu gösterdi. Kas gerginliğine bağlı geçici açık kapanış gelişti ve konservatif olarak tedavi edildi. Majör komplikasyon izlenmedi. Bu olgu, akromegaliye bağlı iskelet deformitelerinin tedavisinde multidisipliner yaklaşımın önemini vurgulamaktadır

Keywords

akromegali , ortognatik cerrahi , maksillofasiyal deformite , le fort 1 osteotomisi , bilateral sagital split osteotomi , olgu sunumu

Ethical Statement

Bu olgu sunumu Helsinki Bildirgesi ilkelerine uygun olarak yürütülmüştür. Tüm klinik ve radyolojik görüntülerin yayımlanması için hastadan yazılı onam alınmıştır

Supporting Institution

Bu çalışma herhangi bir kurum tarafından desteklenmemiştir.

Thanks

Yazarlar, olgunun yönetimi süresince desteklerinden dolayı radyoloji ve cerrahi bölümlerine teşekkür eder.

Reconstruction of maxillofacial deformity in a patient with Acromegaly by orthognathic surgery: case report

Abstract

This report presents the surgical correction of maxillofacial deformity due to acromegaly using orthognathic surgery. A 21-year-old male patient with a history of pituitary adenoma presented with mandibular prognathism and facial asymmetry. After achieving hormonal stability, 20 months of orthodontic preparation were followed by Le Fort I osteotomy and bilateral sagittal split osteotomy. Postoperative cephalometric analysis revealed improved skeletal relationships. A transient open bite occurred and was managed conservatively. No major complications were observed. This case highlights the value of multidisciplinary management in acromegaly-related skeletal deformities

Keywords

acromegaly , orthognatic surgery , maxillofacial deformity , Le Fort 1 osteotomy , bilateral sagittal split osteotomy , case report

Ethical Statement

This case report was conducted in accordance with the principles of the Declaration of Helsinki. Written informed consent was obtained from the patient for the publication of all clinical and radiographic images

Supporting Institution

This study was not supported by any institution.

Thanks

The authors would like to thank the radiology and surgery departments for their support during the case management.

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