Medial Femoral Condyle Free Flap for Premaxillary Reconstruction in Median Facial Dysplasia

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

The Journal of craniofacial surgery - 28(2017), 1 vom: 03. Jan., Seite e57-e60

Sprache:

Englisch

Beteiligte Personen:

Choi, Jong Woo [VerfasserIn]
Jeong, Woo Shik [VerfasserIn]
Kwon, Soon Man [VerfasserIn]
Koh, Kyung S [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Journal Article

Anmerkungen:

Date Completed 11.04.2017

Date Revised 02.12.2018

published: Print

Citation Status MEDLINE

doi:

10.1097/SCS.0000000000003199

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM266609236