This clinical report describes the management of a patient who was diagnosed with amniotic band sequence (ABS) complicated with severe skeletal malocclusion, associated with severe muscle weakness. The patient was a 23-year-old male who underwent treatment in our hospital to improve chewing, phonation, and swallowing difficulties caused by severe abnormality of the maxillofacial skeleton. We evaluated chewing, swallowing and language functions preoperatively, and started muscle function and oral rehabilitation therapy. We performed 2-jaw osteotomy after preoperative orthodontic treatment. The patient continued with postoperative orthodontic treatment and oral rehabilitation. Postoperatively, the patient showed improved maxillofacial morphology, but was unable to attain sufficient improvement of masticatory and language functions due to atrophy and poor development of the masticatory muscles. These results suggest that obtaining sufficient therapeutic effect on oral functions is not possible if the masticatory muscles are not sufficiently strong due to atrophy or hypoplasia.
Cite this paper
Yoshiba, S. , Yamaguchi, T. , Ohtsuka, S. and Shirota, T. (2015) A Case of Amniotic Band Sequence Complicated by Severe Skeletal Malocclusion. Case Reports in Clinical Medicine
, 124-130. doi: 10.4236/crcm.2015.44027
 Taub, P.J., Lin, H. and Silver, L. (2007) Mandibular Distraction for Amniotic Band Syndrome in the Neonate. Annals of Plastic Surgery, 59, 334-337. http://dx.doi.org/10.1097/01.sap.0000252771.42869.b2
 Kim, J., Hollier, L. and Taylor, T. (2004) Amniotic Band Sequence: The Use of Bone Grafting and Distraction Osteogenesis. Journal of Craniofacial Surgery, 15, 347-351. http://dx.doi.org/10.1097/00001665-200403000-00035
 Cignini, P., Giorlandino, C., Padula, F., Dugo, N., Cafà, E.V. and Spata, A. (2012) Epidemiology and Risk Factors of Amniotic Band Syndrome, or ADAM Sequence. Journal of Prenatal Medicine, 6, 59-63.
 Doi, Y., Kawamata, H., Asano, K. and Imai, Y. (2011) A Case of Amniotic Band Syndrome with Cleft Lip and Palate. Journal of Maxillofacial and Oral Surgery, 10, 354-356. http://dx.doi.org/10.1007/s12663-011-0174-4
 Muraskas, J.K., McDonnell, J.F., Chudik, R.J., Salyer, K.E. and Glynn, L. (2003) Amniotic Band Syndrome with Significant Orofacial Clefts and Disruptions and Distortions of Craniofacial Structures. Journal of Pediatric Surgery, 38, 635-638. http://dx.doi.org/10.1053/jpsu.2003.50141
 Kahramaner, Z., Cosar, H., Turkoglu, E., Erdemir, A., Kanik, A., Sutcuoglu, S. and Ozer, E.A. (2012) Amniotic Band Sequence: An Extreme Case. Congenital Anomalies (Kyoto), 52, 59-61. http://dx.doi.org/10.1111/j.1741-4520.2010.00301.x
 Robin, N.H., Franklin, J., Prucka, S., Ryan, A.B. and Grant, J.H. (2005) Clefting, Amniotic Bands, and Polydactyly: A Distinct Phenotype That Supports an Intrinsic Mechanism for Amniotic Band Sequence. American Journal of Medical Genetics Part A, 137, 298-301. http://dx.doi.org/10.1002/ajmg.a.30885
 Sato, Y., Minagi, S., Akagawa, Y. and Nagasawa, T. (1989) An Evaluation of Chewing Function of Complete Denture Wearers. The Journal of Prosthetic Dentistry, 62, 50-53. http://dx.doi.org/10.1016/0022-3913(89)90047-4
 Matsui, Y., Ohno, K., Shirota, T., Imai, S., Yamashita, Y. and Michi, K. (1995) Speech Function Following Maxillectomy Reconstructed by Rectus Abdominis Myocutaneous Flap. Journal of Cranio-Maxillo-Facial Surgery, 23, 160-164. http://dx.doi.org/10.1016/S1010-5182(05)80005-8