title: Johanson-Blizzard syndrome facial anomaly and its correction using a microsurgical bone graft and tripartite osteotomy.
abstract: The facial anomaly of Johanson-Blizzard syndrome and its correction are described. The facial anomaly was characterized by cleft-like bony defects located in the inferomedial portion of the orbit apart from the hypoplastic maxilla and the absence of nasal alae. Correction of the facial skeleton was performed using a free vascularized iliac bone graft and tripartite osteotomy to correct the shape of the orbit and elongate the severely hypoplastic maxilla. Those procedures were effective to a certain degree in correcting the facial anomaly of Johanson-Blizzard syndrome.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Police Hospital, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Kobayashi
authors.forename: K
authors.initials: K
authors.lastname: Ohmori
authors.forename: J
authors.initials: J
authors.lastname: Sekiguchi
mesh_terms: D001852:Bone Lengthening / Q000379:methods; D002648:Child; D019465:Craniofacial Abnormalities / Q000209:etiology / Q000601:surgery*; D003399:Craniotomy / Q000379:methods*; D004476:Ectodermal Dysplasia / Q000150:complications*; D010188:Exocrine Pancreatic Insufficiency / Q000150:complications; D005147:Facial Bones / Q000002:abnormalities / Q000601:surgery; D005260:Female; D006801:Humans; D008437:Maxilla / Q000002:abnormalities / Q000601:surgery; D008866:Microsurgery; D009666:Nose / Q000002:abnormalities / Q000601:surgery; D009915:Orbit / Q000002:abnormalities / Q000601:surgery; D013577:Syndrome; D014057:Tomography, X-Ray Computed