The surgical management of unilateral Craniofacial Atrophy and Hypoplasia / 中华整形外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To study the surgical reconstruction of unilateral Craniofacial Atrophy and Hypoplasia.</p><p><b>METHODS</b>According to the etiological factors and severity of the facial deformities, different methods are employed, including bone framework reconstruction, soft tissue transplantation, orthognathic surgery.</p><p><b>RESULTS</b>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.</p><p><b>CONCLUSIONS</b>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.</p>