[The surgical management of unilateral Craniofacial Atrophy and Hypoplasia].
OBJECTIVE
To study the surgical reconstruction of unilateral Craniofacial Atrophy and Hypoplasia.


METHODS
According to the etiological factors and severity of the facial deformities, different methods are employed, including bone framework reconstruction, soft tissue transplantation, orthognathic surgery.


RESULTS
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.


CONCLUSIONS
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.
Zhang
Zhi-yong
ZY
Departement of craniomaxillo-facial surgery, Plastic Surgery Hospital of CAMS, Beijing, China.
Gui
Lai
L
Liu
Jian-feng
JF
Teng
Li
L
Niu
Feng
F
Jin
Ji
J
Huang
Lu-ping
LP
Yu
Bing
B
Yu
Dong
D
Tang
Xiao-jun
XJ
Zheng
Zong-mei
ZM
Liu
Yu-feng
YF
D000293:Adolescent; D000328:Adult; D019465:Craniofacial Abnormalities / Q000601:surgery*; D005146:Facial Asymmetry / Q000601:surgery*; D005150:Facial Hemiatrophy / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult