Choi Jong Woo, Jeong Woo Shik, Kwon Soon Man, Koh Kyung S
*Department of Plastic and Reconstructive Surgery, Ulsan University, College of Medicine, Seoul Asan Medical Center †Eastman Dental Clinic, Seoul, Korea.
J Craniofac Surg. 2017 Jan;28(1):e57-e60. doi: 10.1097/SCS.0000000000003199.
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.
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.
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.
Although several other options are available, the medial femoral condyle free flap is particularly suited for the reconstruction of median facial dysplasia.
面中部发育异常是颅面部一种独特的发育畸形，其特征为面中部结构缺失。股骨内侧髁游离皮瓣可作为带骨皮瓣使用，该皮瓣的独特特性还为外科医生提供了骨膜成分。在本研究中，作者介绍了我们对一名患有面中部发育异常、单侧唇腭裂和前颌骨发育不全患者的治疗经验。
该患者被诊断为面中部发育异常伴单侧唇腭裂及前颌骨发育不全。她表现为严重的面中部发育不全，前颌骨缺失。采用股骨内侧髁游离皮瓣进行前颌骨重建。
股骨内侧髁游离皮瓣成功用于前颌骨重建。该皮瓣与牙槽骨间隙贴合良好。由于该皮瓣是骨膜骨皮瓣，牙龈黏膜重建良好。与术前状态相比，唇部协调性有了显著恢复。
尽管还有其他几种选择，但股骨内侧髁游离皮瓣特别适合面中部发育异常的重建。
