Surgical management of hemifacial microsomia: a report of 24 cases / 中华整形外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the therapeutic effect of combined treatment for hemifacial microsomia (HFM).</p><p><b>METHODS</b>From July 1991 to August 2006, 24 consecutive patients with HFM were retrospectively analyzed. They underwent orthognathic surgery, free flap transplantation, Medpor implant, distraction osteogenesis. The patients age, deformity type, surgical timing, treatment methods and complications were analyzed.</p><p><b>RESULTS</b>The treatment was completed in all the patients. The facial symmetry was improved dramatically after operation. The occlusion relationship was improved also with good occlusion plane. 8 free flaps were survived with no necrosis.</p><p><b>CONCLUSIONS</b>The surgical treatment should be designed based on the age and deformity type in HFM. The occlusion relationship and appearance can be both improve markedly.</p>