Parry-Romberg syndrome is a rare, acquired disorder characterized by slowly progressive shrinkage atrophy of the skin and soft tissues of half of the face hemifacial atrophy. In rare cases, both sides of the face are affected. In some people, atrophy may also affect the limbs usually on the same side of the body as the facial atrophy. The severity and specific symptoms of Parry-Romberg syndrome are highly variable from one person to another. Additional symptoms can potentially develop in some people including neurological abnormalities or abnormalities affecting the eyes or teeth.
One of the most common questions that arises with larger cases is: Where is the vertical dimension? How did you find the vertical dimension? How did you transfer the vertical dimension to the final prosthesis? It seems like all of us struggle with this concept, and we try to use a significant amount of classic laboratory information to fit our patients into a generic tooth set-up. But all our patients are not the same. In this article, I will present principles from a classic article by Dr.
Parry—Romberg syndrome is a rare disease characterized by progressive shrinkage and degeneration of the tissues beneath the skin , usually on only one side of the face hemifacial atrophy but occasionally extending to other parts of the body. It has been reported in the literature as a possible consequence of sympathectomy. In addition to the connective tissue disease , the condition is sometimes accompanied by neurological, ocular and oral symptoms. The range and severity of associated symptoms and findings are highly variable.
Schematic of the classic procedure described by Goldman. Discontinuous lateral strips are seen. A, Lateral view; B, base view. Schematic of vertical lobule division, with division between the dome and angle for decreased projection. Overlap of the lateral segment on the medial segment in the shaded area with placement of a columellar strut, an interdomal suture, scoring of the domes, and cephalic resection of the lower lateral cartilages are seen.