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Current surgery of craniofacial anomalies
Otolaryngologic Clinics of North America
|February 1, 1981
Summary
Craniofacial surgery corrects skeletal anomalies using osteotomies for conditions like hemifacial microsomia. Early surgical intervention is recommended, but potential complications include death, blindness, brain damage, and infection.
Area of Science:
- Plastic Surgery
- Orthodontics
- Pediatric Surgery
Background:
- Craniofacial dysplasia encompasses a range of skeletal anomalies affecting the face and skull.
- Craniofacial surgery enables the repositioning of facial and cranial bones to correct deformities.
Purpose of the Study:
- To provide an overview of craniofacial surgical techniques for skeletal anomalies.
- To highlight the importance of specialized centers and multidisciplinary teams in craniofacial surgery.
Main Methods:
- Description of various osteotomies, including Le Fort I, II, and III, for midface advancement.
- Techniques for orbital hypertelorism correction and forehead reconstruction.
- Surgical correction of hemifacial microsomia involving skeletal rotation and reconstruction of mandibular structures.
Main Results:
- Craniofacial surgery offers solutions for diverse deformities through various osteotomies.
- Combined osteotomies can address complex craniofacial anomalies.
- Psychosocial assessments support early surgical intervention.
Conclusions:
- Craniofacial surgery is a specialized subspecialty requiring dedicated centers.
- Early surgical correction is psychosocially beneficial.
- Potential complications necessitate careful patient selection and management.