Staged Reconstruction for Adult Complete Treacher Collins Syndrome

  title={Staged Reconstruction for Adult Complete Treacher Collins Syndrome},
  author={Zhiyong Zhang and Feng Niu and Xiao-jun Tang and Bing Yu and Jian-feng Liu and Lai Gui},
  journal={Journal of Craniofacial Surgery},
Treacher Collins syndrome is a congenital craniofacial malformation affecting the structures derived from the first and second brachial arches. For the complete form, the deformities can be severe; both the orbital-zygomatic region and mandible as well as the soft tissues should be reconstructed. To explore the surgical management of this kind of deformities, we proposed our protocol for the staged reconstruction: (1) upper-facial reconstruction with specially designed outer calvarial table, (2… 

Zygomatic-orbital reconstruction in patient with Treacher Collins syndrome using bioceramic made of hydroxyapatite and β-tricalcium phosphate

This article describes a case of TCS in which zygomatic-orbital reconstruction was performed with a third-generation, biphasic, micro–macro porous bioceramic composed of hydroxyapatite and beta-tricalcium phosphate and led to a satisfactory aesthetic outcome.

The Use of Virtual Surgical Planning in Total Facial Skeletal Reconstruction of Treacher Collins Syndrome: A Case Report

A case of an 18-year-old patient with TCS, who underwent staged zygomaticomaxillary reconstruction and double-jaw osteotomy with sliding genioplasty using computer-assisted surgical planning, who achieved not only improved facial harmony but also class I occlusion.

Planning Surgical Reconstruction in Treacher-Collins Syndrome Using Virtual Simulation

Size-matched stereolithographic templates derived from thin-plate spline warps can provide effective intraoperative templates for zygomatic and mandibular reconstruction in the Treacher-Collins syndrome patient.

Pierre Robin Sequence and Treacher Collins Hypoplastic Mandible Comparison Using Three-Dimensional Morphometric Analysis

Three-dimensional mandibular morphometric analysis in patients with Pierre Robin sequence and Treacher Collins syndrome revealed distinctly different patterns ofMandibular hypoplasiarelative to normal controls, underscore distinct considerations that must be made in surgical planning for reconstruction.

Three-dimensional comparison of mandibular morphology in young people with Treacher Collins syndrome and Pierre Robin sequence.

Treacher Collins Syndrome

As multiple body systems are affected in TCS, long-term follow-up care and the collaboration of a multidisciplinary team care is necessary in order to achieve better physical and psychosocial performances.

Characterization of Phenotypes and Treatment Modalities in Patients With Treacher-Collins Syndrome

The main desires of TCS patients were to obtain the facial esthetics in the midface and to improve hearing function, and the TSI might provide a primary data for individualized diagnosis and treatment planning.

An Isogenic Model of Murine Mandibular Distraction Osteogenesis

It is found that Lewis rats function as an excellent model for isogenic mandibular distraction osteogenesis, but data procured may not be comparable between isogenic and nonisogenic models.

A Comparison of Vascularity, Bone Mineral Density Distribution, and Histomorphometrics in an Isogenic Versus an Outbred Murine Model of Mandibular Distraction Osteogenesis.

  • E. CareyS. Deshpande S. Buchman
  • Medicine
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
  • 2016



The use of a temporal osteoperiosteal flap for the reconstruction of malar hypoplasia in Treacher Collins syndrome.

The clinical use of a temporal periosteal bone flap for the reconstruction of a malar bone in a patient with the Treacher Collins syndrome is presented and correction of the eyelid coloboma was obtained.

Surgical Treatment of Treacher Collins Syndrome

The obtained outcome of treatment, although far from being perfect, but still beneficial, confirmed the correctness of applied approach but pointed to the necessity of introducing new methods of treatment aiming, among others, at compensating for the tissue deficiency by means of tissue engineering.

Simultaneous Mandibular and Maxillary Distraction in Hemifacial Microsomia in Adults: Avoiding Occlusal Disasters

In a series of seven patients, the maxilla was distracted simultaneously with the mandible, preserving the preexisting stable occlusion, and the distance from the inferior orbital rim to the occlusal plane on the affected side was increased in all patients, achieving 100 percent correction.

Simultaneous Maxillo-Mandibular Distraction Osteogenesis in Hemifacial Microsomia: A New Technique Using Two Distractors

Simultaneous maxillo-mandibular distraction osteogenesis resulted in a high rate of success in correcting facial asymmetry as well as occlusal plane cant and offered good aesthetic satisfaction.

Correction of Hemifacial Atrophy With Autologous Fat Transplantation

Autologous fat transplantation can be a good treatment of choice for patients with hemifacial atrophy and improved facial contour was evident in most patients after autologousfat transplantations.

Lengthening the human mandible by gradual distraction.

The technique holds promise for early reconstruction of craniofacial skeletal defects without the need for bone grafts, blood transfusion, or intermaxillary fixation.

Midface advancement by gradual distraction.

The Spectrum of Calvarial Bone Grafting: Introduction of the Vascularized Calvarial Bone Flap

Since the flap is vascularized and contains membranous bone, it is particularly suited for bone grafting in clinically unfavorable recipient sites, such as scarred or irradiated beds or the hypoplastic zygomatic-maxillary complex in the Treacher Collins syndrome.

Le Fort III Advancement with Gradual Distraction Using Internal Devices

Combining intraoperative advancement of the Le Fort III osteotomy with gradual distraction consistently resulted in larger movements than could be achieved with conventional osteotomies and rigid fixation alone.

Free-fat injections for the correction of hemifacial atrophy.

The relative ease of this procedure, which does not entail any scarring, appears to justify more widespread use of free-fat injections to restore facial soft-tissue depressions.