Division of Plastic Surgery, Department of Surgery, University of Washington, Seattle Children's Hospital, Seattle, Washington.
Semin Plast Surg. 2012 May;26(2):91-104. doi: 10.1055/s-0032-1320067.
Craniofacial microsomia (CFM) is one of the most common congenital conditions treated in craniofacial centers worldwide. This condition is variably associated with anomalies of the jaws, ears, facial soft tissue, orbits, and facial nerve function and can be associated with extracranial anomalies. The cause of this condition is unknown, though CFM has been associated withprenatalexposures and genetic abnormalities. Diagnosis, treatment, and outcome assessment in CFM is challenging due to the wide phenotypic spectrum observed in this condition. Surgical treatment requires a coordinated team approach involving multiple specialties, which can include plastic surgery, craniofacial surgery, orthognathic surgery, and microsurgery. A wide variety of surgical options exist, and individual treatment plans should be based on the patient's needs. Although CFM can be challenging to treat, successful outcomes are rewarding. We provide a review of the common craniofacial surgical treatments for individuals with CFM.
颅面短小症(CFM)是全球颅面中心治疗的最常见的先天性疾病之一。这种疾病与颌骨、耳朵、面部软组织、眼眶和面神经功能的异常有关,并可能与颅外异常有关。这种疾病的原因尚不清楚,尽管 CFM 与产前暴露和遗传异常有关。由于在这种情况下观察到广泛的表型谱,因此 CFM 的诊断、治疗和结果评估具有挑战性。由于涉及多个专业,包括整形手术、颅面外科、正颌外科和显微外科,因此需要采用协调的团队方法进行手术治疗。存在各种各样的手术选择,并且个体治疗计划应基于患者的需求。尽管 CFM 的治疗具有挑战性,但成功的结果是值得的。我们提供了一份针对患有 CFM 的个体的常见颅面外科治疗方法的综述。