Individualized surgical approach for Brodie's syndrome with facial asymmetry: a case report involving mandibular segmentation.
Andressa Bolognesi Bachesk, Ana Julia Antunes Pereira, Maria Clara Belloni et al.
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Case in brief
An 18-year-old patient with Brodie's syndrome presented with mandibular deviation, Class II malocclusion, and a posterior scissors bite. The case involved significant skeletal challenges, including mandibular constriction. A bimaxillary surgical intervention was performed, utilizing mandibular segmentation, advancement genioplasty, and Le Fort I osteotomy. After 12 months, the patient achieved stable functional occlusion and notable aesthetic improvement.
What made this case unusual
The use of mandibular segmentation for treating unilateral Brodie's syndrome is rarely documented, making this case noteworthy.
Diagnostic / clinical pearl
Clinicians should consider individualized surgical approaches, such as mandibular segmentation, for managing complex cases of Brodie's syndrome.
Why it matters
This case underscores the importance of three-dimensional planning and patient-specific guides in enhancing surgical outcomes for challenging malocclusions.