ABSTRACT
The association of facial palsy and achondroplasia is rare. The authors present two cases of such association. To their knowledge this has never been described before in the medical literature. Both patients underwent a two-stage facial reanimation procedure using nerve grafting and a free gracilis muscle transfer with very satisfactory functional and cosmetic results.
Subject(s)
Achondroplasia/complications , Facial Paralysis/complications , Child , Child, Preschool , Facial Nerve/surgery , Facial Paralysis/surgery , Female , Humans , Male , Nerve Transfer , Sural Nerve/surgery , Surgical FlapsABSTRACT
Congenital radial angulation deformity of the thumb in Rubinstein-Taybi syndrome is generally corrected by a wedge osteotomy of the delta phalanx and a redistribution of the overlying skin using a Z-plasty or, rarely, skin grafting. We describe a new application of the bilobed flap in the reconstruction of the thumb and discuss its advantages over traditional methods in providing tension-free skin cover, excellent access to the delta phalanx and aesthetically acceptable scars.
