Hemifacial microsomia and Goldenhar syndrome pose unique challenges to the craniofacial surgeon.The O.M.E.N.S.classification provides a description of the craniofacial features.For the“M”of O.M.E.N.S.(the mandible),...Hemifacial microsomia and Goldenhar syndrome pose unique challenges to the craniofacial surgeon.The O.M.E.N.S.classification provides a description of the craniofacial features.For the“M”of O.M.E.N.S.(the mandible),the Pruzansky-Kaban classification 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-specific 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.展开更多
INTRODUCTION Because alternatives exist for the full facelift(rhytidectomy),this procedure has become less popular overtime.In the past,forehead wrinkles were addressed with coronal[1,2]and endoscopically assisted for...INTRODUCTION Because alternatives exist for the full facelift(rhytidectomy),this procedure has become less popular overtime.In the past,forehead wrinkles were addressed with coronal[1,2]and endoscopically assisted forehead lift[3]procedures.Today,botulinum toxin and hyaluronic acid fillers are used for this purpose because they are more effective and result in less downtime.展开更多
文摘Hemifacial microsomia and Goldenhar syndrome pose unique challenges to the craniofacial surgeon.The O.M.E.N.S.classification provides a description of the craniofacial features.For the“M”of O.M.E.N.S.(the mandible),the Pruzansky-Kaban classification 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-specific 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.
文摘INTRODUCTION Because alternatives exist for the full facelift(rhytidectomy),this procedure has become less popular overtime.In the past,forehead wrinkles were addressed with coronal[1,2]and endoscopically assisted forehead lift[3]procedures.Today,botulinum toxin and hyaluronic acid fillers are used for this purpose because they are more effective and result in less downtime.