Composite Frontal Bone Flap for Bony Reconstruction in Treacher Collins Syndrome and Hemifacial Microsomia

1987 ◽  
pp. 364-368
Author(s):  
Jacques M. Vaandrager
1983 ◽  
Vol 92 (4) ◽  
pp. 401-404 ◽  
Author(s):  
Steven D. Handler ◽  
Thomas P. Keon

The child with mandibular hypoplasia (Treacher Collins syndrome, Pierre Robin sequence, hemifacial microsomia, etc) presents the otolaryngologist and anesthesiologist with considerable problems when direct laryngoscopy and/or endotracheal intubation is attempted. In addition to the small mandible, several other features of these patients contribute to the difficult laryngoscopy: macroglossia, glossoptosis, trismus related to temporomandibular joint abnormalities, and prominent maxilla or maxillary incisors. Most of the techniques that have been described for laryngoscopy/intubation in problem cases are difficult or impossible to use in infants and young children with mandibular hypoplasia. We present a modification of the standard direct laryngoscopic procedure, utilizing the 9-cm anterior commissure laryngoscope and an optical stylet in the task of exposing and intubating the larynx of a child with mandibular hypoplasia.


1987 ◽  
pp. 479-480
Author(s):  
Hans Anderl ◽  
Wolfgang Mühlbauer ◽  
K. Twerdy
Keyword(s):  

2005 ◽  
Vol 226 (5) ◽  
pp. 752-755 ◽  
Author(s):  
Peter N. Gordon ◽  
Joe N. Kornegay ◽  
Jimmy C. Lattimer ◽  
Cristi R. Cook ◽  
TerriAnn Tucker-Warhover

Author(s):  
Manikandhan Ramanathan

AbstractHemifacial microsomia and Treacher Collins syndrome are two entities which arise as a consequence of abnormal development of first and second branchial arches in utero. As a result, these dentofacial deformities present with abnormal facies especially the maxilla and mandible. They may also occur as part of other syndromes and may involve other structures of the body. In this chapter, we have discussed the etiology, clinical features, radiological assessment and treatment planning of such cases. Special emphasis should be made on early diagnosis, challenges of airway management and feeding and parental counselling. Since the two deformities are largely considered to be non-progressive, early distraction plays an important role in correction of the dentofacial deformity in these patients.


Author(s):  
Robin D. Clark ◽  
Cynthia J. Curry

This chapter reviews background information about the incidence, risk factors, genetics, recurrence risk, family history and epidemiology of isolated and syndromic ear anomalies. The discussion on the differential diagnosis of ear anomalies summarizes its common causes, including teratogenic agents (isotretinoin, maternal diabetes, mycophenylate), chromosome anomalies (aneuploidy, 22q11 deletion), common sporadic multiple congenital anomaly syndromes (Hemifacial microsomia/Goldenhar), and Mendelian disorders that are primarily craniofacial (Treacher-Collins and other mandibulofacial dysostoses) and others that include malformations in other organ systems (CHARGE). The chapter gives recommendations for evaluation and management. A clinical case presentation features a child with mycophenylate embryopathy, who had been incorrectly diagnosed with Treacher Collins syndrome.


1999 ◽  
Vol 82 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Ansgar C. Cheng ◽  
David Morrison ◽  
Alvin G. Wee ◽  
Walter G. Maxymiw ◽  
Daphne Archibald

Craniofacial surgery is the subspecialist area of surgery that diagnoses and manages a large heterogeneous group of both congenital and acquired conditions. The common factor is the involvement of the cranium (and its contents) and the face. This chapter first introduces craniofacial surgery and goes on to cover craniosynostosis, single-suture synostosis, syndromic synostosis, torticollis and positional skull deformity, craniofacial procedures, craniofacial clefting disorders, tumours, vascular malformations of the head and neck, hemifacial microsomia, and Treacher Collins syndrome. Finally it outlines the members of the craniofacial team, and the organization of craniofacial services in the UK.


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