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[The surgical management of unilateral Craniofacial Atrophy and Hypoplasia]
Zhi-yong Zhang1, Lai Gui, Jian-feng Liu
1Departement of craniomaxillo-facial surgery, Plastic Surgery Hospital of CAMS, Beijing, China.
Objective:
To study the surgical reconstruction of unilateral Craniofacial Atrophy and Hypoplasia.
Methods:
According to the etiological factors and severity of the facial deformities, different methods are employed, including bone framework reconstruction, soft tissue transplantation, orthognathic surgery.
Results:
From September 1998 to August 2004, 42 cases were treated, Include: Hemifacial Microsomia 22 cases, Hemifacial Atrophy 16 cases, unilateral facial hypoplasia due to radiation 4 cases. Miniplate and transplants extrusion occurred on 2 post radiation patients due to poor soft tissue coverage, infection occurred on 1 patient after mandibular ramus reconstruction using autogenous rib and contralateral mandibular outer cortex. The leaving patients recovered well and the facial asymmetry were improved greatly.
Conclusions:
Facial asymmetry due to unilateral Craniofacial Atrophy or Hypoplasia is a common and complex condition for surgical management, The surgical plan should be delicated made individually according to the severity of the soft tissue and the underlying bone framework.
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