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Traumatic craniofacial deformity. Late treatment

L A Whitaker

    Scandinavian Journal of Plastic and Reconstructive Surgery
    |January 1, 1981
    PubMed
    Summary

    Reconstruct traumatic craniofacial deformities using soft tissue mobilization, rib grafts, and bone segment repositioning. Secondary reconstruction requires adherence to specific surgical principles for optimal outcomes.

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    Plastic and reconstructive surgery·2000

    Area of Science:

    • Plastic Surgery
    • Craniofacial Surgery
    • Reconstructive Surgery

    Background:

    • Traumatic craniofacial deformities present complex reconstructive challenges.
    • Acute reconstruction is ideal but secondary reconstruction is feasible with specific techniques.

    Purpose of the Study:

    • To outline principles for effective secondary reconstruction of traumatic craniofacial deformities.
    • To detail surgical techniques for optimal functional and aesthetic restoration.

    Main Methods:

    • Extensive soft tissue mobilization for repositioning and reshaping.
    • Onlay split rib grafts for orbital, nasal, and zygomatic augmentation.
    • Segmental repositioning of jaw and cranial bone segments.

    Main Results:

    • Simultaneous scar revision, soft tissue augmentation, and repositioning of facial structures (nose, mouth, canthi).
    • Delayed correction of specific functional deficits like ptosis, strabismus, and nasolacrimal obstruction.

    Conclusions:

    • Secondary craniofacial reconstruction can achieve excellent results by following established surgical principles.
    • Timing of certain functional corrections is critical for successful outcomes post-reconstruction.

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