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Maxillary hypoplasia

ICD10CM code

Name of the Condition

  • Maxillary Hypoplasia
  • Also known as: Underdeveloped Maxilla, Midface Hypoplasia

Summary

Maxillary hypoplasia is a condition where the upper jaw (maxilla) is underdeveloped, often leading to issues with facial appearance and dental alignment. This may affect breathing, chewing, and speech.

Causes

  • Congenital: Often occurs as a part of a genetic syndrome such as Crouzon or Apert syndrome.
  • Trauma: Facial trauma during early childhood can impact maxillary growth.
  • Other Factors: Conditions like cleft palate or prolonged mouth breathing during childhood can lead to underdevelopment.

Risk Factors

  • Genetic Syndromes: Presence of certain syndromes increases the risk.
  • Family History: A family history of craniofacial anomalies can be a significant factor.
  • Obstructive Sleep Apnea: Chronic mouth breathing related to this condition might contribute.

Symptoms

  • Flattened facial profile due to underdevelopment of the midface
  • Dental malocclusion (misalignment of teeth)
  • Breathing difficulties, particularly during sleep
  • Speech problems due to dental alignment issues
  • Aesthetic concerns related to the facial appearance

Diagnosis

  • Physical Examination: Initial assessment by evaluating facial symmetry and dental occlusion.
  • Imaging: X-rays or 3D CT scans to evaluate bone structure and development.
  • Orthodontic Assessment: To determine the impact on dental alignment and palate.

Treatment Options

  • Orthodontic Treatment: Braces or other dental devices to correct teeth alignment.
  • Orthognathic Surgery: Surgical repositioning of the maxilla to enhance facial symmetry and function.
  • Speech Therapy: If speech is affected, therapy can help improve communication.

Prognosis and Follow-Up

  • Outcomes: Generally favorable with treatment; significant improvements in facial aesthetics and function.
  • Follow-Up: Regular follow-ups are essential to monitor development and orthodontic adjustments.

Complications

  • If untreated, maxillary hypoplasia may lead to severe dental malocclusion, sleep apnea, and psychological effects due to facial appearance concerns.

Lifestyle & Prevention

  • Early intervention in cases of mouth breathing or orthodontic issues in children can help mitigate development issues.
  • Encouraging nasal breathing can reduce the risk of developing this condition.

When to Seek Professional Help

  • Difficulty in breathing, especially during sleep
  • Noticeable facial asymmetry or developmental concerns in children
  • Difficulty with speech or chewing that impacts daily life

Additional Resources

Tips for Medical Coders

  • Ensure accurate coding by confirming the diagnosis of the midface underdevelopment as M26.02.
  • Be careful not to confuse this condition with other craniofacial growth disorders; verify if syndromic criteria apply.

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