Correction of severe facial deformity

Area of Science:

• Craniofacial Surgery
• Pediatric Plastic Surgery
• Skeletal Dysplasias

Background:

• Severe facial deformities require coordinated multidisciplinary care.
• Existing treatments carry significant surgical risks.
• Early intervention is crucial for functional and psychologic well-being.

Purpose of the Study:

• To establish a craniofacial team for managing complex facial deformities.
• To evaluate the efficacy and safety of surgical interventions.
• To improve psychologic and functional outcomes in affected patients.

Main Methods:

• Evaluation of 200 patients over 4 years.
• Surgical correction in over 100 patients with conditions including Crouzon's disease, Apert syndrome, and hemifacial microsomia.
• Techniques involved subperiosteal bone stripping, osteotomy, and bone grafting for repositioning.

Main Results:

• Successful surgical correction of orbital hypertelorism, oxycephaly, plagiocephaly, and malocclusion.
• Postoperative evaluations conducted for up to 5 years or until skeletal maturity.
• Demonstrated significant psychologic and functional improvements in patients.

Conclusions:

• The craniofacial team approach effectively manages severe facial deformities.
• Surgical interventions, despite imperfections, offer substantial patient benefits.
• Continued, controlled surgical programs are warranted for these complex conditions.