Hemifacial microsomia: management of the vertical ramus compartment

Abstract

Hemifacial microsomia and Goldenhar syndrome pose unique challenges to the craniofacial surgeon. The O.M.E.N.S. classifcation provides a description of the craniofacial features. For the “M” of O.M.E.N.S. (the mandible), the Pruzansky-Kaban classifcation provides therapeutic guidelines for joint and face reconstruction. A sequence of standard procedures, including temporomandibular joint reconstruction, facial rotation surgery, gluteal fat grafting, and patient-specifc titanium implantation, each have their intricacies. The author provides his expert opinion, acquired over thirty years of experience, with an emphasis on descriptions of and solutions for ten problematic issues.

Keywords

Congenital abnormalities / goldenhar syndrome / mandibular reconstruction

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