Tissue expansion in the reconstruction of tessier craniofacial clefts: a series of 17 patients

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dc.contributor.authorMenard, R.
dc.contributor.authorMoore, M.
dc.contributor.authorDavid, D.
dc.date.issued1999
dc.description.abstractTessier craniofacial clefts are among the most surgically challenging examples of craniofacial dysmorphology. These clefts are characterized by hypoplasia of soft-tissue and skeletal elements throughout the three-dimensional extent of the cleft. Whereas bone grafting and craniofacial osteotomies have been successful toward correcting the underlying skeletal abnormalities, the ultimate success of these reconstructions has been limited by the deficiency of skin and soft tissue. This deficiency demands reconstruction ideally with tissue of like texture, consistency, and, especially in the face, color. Craniofacial tissue expansion was used toward reconstructing these facial clefts with like-quality tissue, allowing for tension-free reconstruction after osteotomy and bone grafting. Seventeen patients with Tessier craniofacial clefts underwent preoperative craniofacial soft-tissue expansion in the surgical management of their clefts. Tissue expansion was used in the primary correction of facial clefts in eight patients, with nine patients undergoing expansion before secondary surgery. In this series, tissue expansion has evolved as an important element in overcoming the skin and soft-tissue deficiency associated with these clefts, allowing for tension-free closure and improved aesthetic results in these surgically challenging patients.
dc.identifier.citationPlastic and Reconstructive Surgery, 1999; 103(3):779-786
dc.identifier.doi10.1097/00006534-199903000-00003
dc.identifier.issn0032-1052
dc.identifier.issn1529-4242
dc.identifier.orcidMoore, M. [0000-0003-2136-0315]
dc.identifier.urihttp://hdl.handle.net/2440/10220
dc.language.isoen
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.source.urihttps://doi.org/10.1097/00006534-199903000-00003
dc.subjectFace
dc.subjectHumans
dc.subjectCraniofacial Abnormalities
dc.subjectTissue Expansion
dc.subjectReoperation
dc.subjectAdolescent
dc.subjectAdult
dc.subjectInfant
dc.subjectMale
dc.subjectPlastic Surgery Procedures
dc.titleTissue expansion in the reconstruction of tessier craniofacial clefts: a series of 17 patients
dc.typeJournal article
pubs.publication-statusPublished

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