title: Medial Femoral Condyle Free Flap for Premaxillary Reconstruction in Median Facial Dysplasia.
abstract: OBJECTIVE
  Median facial dysplasia is a distinct development anomaly of the craniofacial region that is characterized by deficient mid facial structures. Medial femoral condyle free flap could be used as a bony flap, and the unique characteristics of this flap provide the surgeons with the periosteal component as well. In this work, the authors present our experience with a patient of median facial dysplasia with unilateral cleft lip, cleft palate, and premaxillary deficiency.
  
  
  METHODS
  The patient was diagnosed with median facial dysplasia accompanied by unilateral cleft lip, cleft palate, and premaxillary. She had presented with severe midface hypoplasia with missing premaxillary bone. Premaxillary reconstruction was performed with the use of medial femoral condyle free flap.
  
  
  RESULTS
  Medial femoral condyle free flap was successfully used for premaxillary reconstruction. The flap fitted well to the alveolar bony gap. Since the flap is a periosteal bone flap, the gingival mucosa was reconstructed very well. The lip harmony was considerably restored compared with the preoperative status.
  
  
  CONCLUSIONS
  Although several other options are available, the medial femoral condyle free flap is particularly suited for the reconstruction of median facial dysplasia.
authors.affiliation: *Department of Plastic and Reconstructive Surgery, Ulsan University, College of Medicine, Seoul Asan Medical Center †Eastman Dental Clinic, Seoul, Korea.
authors.forename: Jong Woo
authors.initials: JW
authors.lastname: Choi
authors.forename: Woo Shik
authors.initials: WS
authors.lastname: Jeong
authors.forename: Soon Man
authors.initials: SM
authors.lastname: Kwon
authors.forename: Kyung S
authors.initials: KS
authors.lastname: Koh
mesh_terms: D019465:Craniofacial Abnormalities / Q000601:surgery*; D005145:Face / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D005269:Femur / Q000637:transplantation*; D058752:Free Tissue Flaps; D006801:Humans; D008437:Maxilla / Q000601:surgery*; D015361:Rhytidoplasty / Q000379:methods*