Microsurgical Correction of Facial Contour Deformities in Patients with Craniofacial Malformations: A 15-Year Experience

@article{Saadeh2008MicrosurgicalCO,
  title={Microsurgical Correction of Facial Contour Deformities in Patients with Craniofacial Malformations: A 15-Year Experience},
  author={P. Saadeh and Christopher C. Chang and S. Warren and P. Reavey and J. McCarthy and J. Siebert},
  journal={Plastic and Reconstructive Surgery},
  year={2008},
  volume={121},
  pages={368e-378e}
}
BACKGROUND Since their first review of microsurgical correction of facial contour deformities in 19 patients with craniofacial malformations, the authors have treated an additional 74 patients (n = 93. [...] Key Method Between 1989 and 2004, a total of 93 patients with the following diagnoses were identified: craniofacial microsomia (n = 73), Treacher Collins syndrome (n = 8), and severe orbitofacial cleft (n = 12).Expand
Surgical Correction of Craniofacial Microsomia: Evaluation of Interventions in 565 Patients at Three Major Craniofacial Units
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Those who are treated earlier in life for correction of asymmetry of the mandible will undergo significantly more surgical procedures to correct the asymmetry later on, independent of the Pruzansky-Kaban type mandible. Expand
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TLDR
The keys to improving results were continual critical reassessment, open-mindedness to new approaches, and maintaining high expectations. Expand
Microsurgical SCIA/SIEA flap for facial contour correction in patient with hemifacial microsomia.
TLDR
The free SCIA/SIEA fascioadiposal flap is an ideal treatment for soft tissue augmentation in hemifacial microsomia with optimal aesthetic results both in the face and at the donor site. Expand
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TLDR
Good results as well as improvement in facial morphology, function, shape, and volume and improvement in the patients' appearance are reported. Expand
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TLDR
A systematic review of peer-reviewed literature addressing the techniques utilized to correct the soft tissue deformity in hemifacial microsomia found microvascular free tissue transfer likely provides greater volume than fat grafting at the cost of a higher complication rate. Expand
Craniofacial Microsomia Soft-Tissue Reconstruction Comparison: Inframammary Extended Circumflex Scapular Flap versus Serial Fat Grafting
TLDR
Serial fat grafting provided a useful alternative to microvascular free tissue transfer after skeletal reconstruction in craniofacial microsomia patients, and physician and patient satisfaction was noted. Expand
A Reappraisal of the Free Groin Flap in Aesthetic Craniofacial Reconstruction
TLDR
The free groin flap is generally underused in the reconstruction of complex craniofacial facial defects but its unique characteristics and minimal donor-site morbidity should prompt the reconstructive surgeon to retain the free groin flaps in his or her armamentarium. Expand
Associated Balancing Surgical Treatments of Hemifacial Microsomia
TLDR
Auricular reconstruction using traditional methods by autologous cartilage framework and filling of the malar region and the mandible with an autOLOGous rib for the ipsilateral zygomatic arch and theMandibular bone were begun to correct ear and jaw deformities. Expand
Enhancing Face Transplant Outcomes: Fundamental Principles of Facial Allograft Revision
TLDR
The authors establish 5 distinct categories of facial allograft revisions and define 7 critical principles to optimize posttransplant procedures to demonstrate that secondary procedures are nearly ubiquitous after FT and can be safely performed at various timepoints. Expand
Parry-Romberg syndrome: volumetric regeneration by structural fat grafting technique.
  • L. Clauser, R. Tieghi, G. Consorti
  • Medicine
  • Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery
  • 2010
TLDR
A case of a 20-year-old woman with right Parry-Romberg syndrome treated over many years with many different surgical reconstructive techniques with poor results is described, resulting in a good aesthetic result with complete patient satisfaction. Expand
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Microsurgical Correction of Facial Contour in Congenital Craniofacial Malformations: The Marriage of Hard and Soft Tissue
TLDR
The experience with a minimum of 1‐year follow‐up over a 5‐year period with 19 patients who initially underwent standard facial skeletal reconstruction and subsequently required microsurgical soft‐tissue reconstructions for final correction of facial contour is presented. Expand
Microsurgical Correction of Facial Asymmetry in 60 Consecutive Cases
TLDR
It is felt that the operative approach presented here allows excellent and stable correction of facial asymmetry due to a variety of etiologies and is applicable to other congenital craniofacial deformities such as Treacher‐Collins syndrome and orbital‐facial clefts. Expand
A Soft-Tissue Approach to Midfacial Hypoplasia Associated With Treacher Collins Syndrome
TLDR
Customized soft-tissue free flaps can be employed to differentially resurface these defects and achieve optimal esthetic results in these challenging patients. Expand
Salvage of Silicone-Treated Facial Deformities Using Autogenous Free Tissue Transfer
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Surgical treatment guidelines, methods, and results for treating severe soft-tissue complications of the face resulting from silicone treatment of facial contour deformities with free tissue transfer are presented. Expand
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In the last few years, this surgical technique has been successfully used in the treatment of pediatric deformities such as hemifacial microsomia, some severe class II skeletal deformities, and some syndromic cases, such as thetreatment of temporomandibular ankylosis outcomes. Expand
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TLDR
The main advantage of an osteomuscular flap is the survival of bone once it has been transferred and the osteogenic potential of the cambium layer of the periosteum, which may prove to be an ongoing concern. Expand
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Although aesthetic and psychological advantages of distraction osteogenesis are well accepted it should only be applied after careful patient selection and honest explanation of the long-term recurrence by genetically determined craniofacial growth patterns. Expand
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This study analyzed a retrospective analysis of all children treated for congenital mandibular hypoplasia at the Children's Hospital of Philadelphia between 1975 and 2003 to determine incidence, clinical presentation, and treatment of the "nonsyndromic" patients. Expand
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Longitudinal Results of Mandibular Distraction Osteogenesis in Hemifacial Microsomia
TLDR
In some patients and for some muscles only, a small increase in the volume of the affected side of the masticatory muscles in comparison to the normal side was found 3 years after mandibular distraction. Expand
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