Edgerton M T, Marsh J L
Plast Reconstr Surg. 1977 May;59(5):653-66. doi: 10.1097/00006534-197705000-00006.
A review of 17 patients operated upon for unilateral hemifacial microsomia, and followed for up to 18 years, clarifies several principles of management. The management is facilitated by dysplasia predominance grouping, with the major functional deformity dictating the sequence of repair. Our surgical goals are: (1) provision of adequate upper airway; (2) preservation of normal teeth and adequate alveolar bone to achieve proper dental occlusion; (3) restoration of binaural hearing; (4) external ear construction; (5) acceptable facial symmetry; (6) balanced facial animation; and (7) a child with an acceptable self-image.
对17例接受单侧半面短小畸形手术且随访长达18年的患者进行回顾，明确了几个治疗原则。发育异常优势分组有助于治疗，主要功能畸形决定修复顺序。我们的手术目标是：（1）提供足够的上呼吸道；（2）保留正常牙齿和足够的牙槽骨以实现正确的牙合；（3）恢复双耳听力；（4）构建外耳；（5）获得可接受的面部对称性；（6）实现面部运动平衡；（7）让患儿拥有可接受的自我形象。
