We report a case of orthognathic surgery for a Class III malocclusion patient with facial asymmetry following a condylar fracture that occurred in early childhood.
A 15-year-old male was referred to our department for correction of facial asymmetry. At the age of 3 years, he experienced a right condylar fracture that was treated conservatively. Thereafter, the mandibular growth was disturbed, resulting in mandibular deviation and maxillary canting, and orthodontic treatment was started from 11 years old. At the age of 15 years, the patient was referred to our hospital for orthognathic surgery. Following the preoperative orthodontic treatment, the facial asymmetry and malocclusion were corrected by bimaxillary orthognathic surgery at the age of 17. The 18-month postoperative course was uneventful, and the result of treatment was satisfactory.