Influence of trigeminal nerve lesion on facial growth: study of two cases of Goldenhar syndrome

L' Orthodontie française
Pierre DarrisPascal Baron

Abstract

This cases report confirms the hypothesis that embryonic and maxillofacial growth are influenced by the peripheral nervous system, including the trigeminal nerve (V). So, it's interesting to use the stigma of the trigeminal nerve as landmarks to analyze the maxillofacial volume and understand its growth. The aim of this study is to evaluate the validity of the three-dimensional cephalometric analysis of Treil based on trigeminal landmarks. The first case is a caucasian female child with Goldenhar syndrome. The second case is a caucasian male adult affected by the same syndrome. In both cases, brain MRI showed an unilateral trigeminal nerve lesion, ipsilateral to the facial dysmorphia. The results of this radiological study tend to prove the primary role of the trigeminal nerve in craniofacial growth. These cases demonstrate the validity of the theory of Moss. They are one of anatomo-functional justifications of the three-dimensional cephalometric biometry of Treil based on trigeminal nerve landmarks.

References

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Jun 1, 1969·American Journal of Orthodontics·M L Moss, L Salentijn
Mar 1, 1984·American Journal of Orthodontics·R G Behrents, L E Johnston
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Mar 29, 2006·Surgical and Radiologic Anatomy : SRA·Guillaume CaptierFrançois Bonnel
Mar 24, 2009·Neuro-Chirurgie·J M Leston
Jan 11, 2014·The Journal of Craniofacial Surgery·Katarzyna BogusiakMarcin Kozakiewicz
Jan 29, 2014·Plastic and Reconstructive Surgery·Jason D WinkScott P Bartlett
Aug 2, 2014·Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale·J Ferri

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