Plastic and Reconstructive Surgery, Global Open (Dec 2014)

A Case of Complex Facial Clefts Treated with Staged-tissue Expansion

  • Koichi Ueda, MD, PhD,
  • Yuka Shigemura, MD,
  • Takashi Nuri, MD, PhD,
  • Hiroyuki Iwanaga, MD,
  • Takaya Seno, MD

DOI
https://doi.org/10.1097/GOX.0000000000000233
Journal volume & issue
Vol. 2, no. 12
p. e264

Abstract

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Summary: Craniofacial clefts involve all soft tissue and skeletal elements throughout the cleft. Usefulness of tissue expansion in craniofacial clefts is reported. Surgery for a complex type of facial clefts is more difficult and more extensive than for a simple one. We experienced a primary case of complex facial clefts (Tessier No. 2 and 12 on the right and 3, 11, and 5 on the left). Soft-tissue closure of all clefts could be completed by using 4 tissue expanders and 7 operations. Because multiple tissue deficiencies and abnormalities exist in craniofacial clefts, especially complex type, a planned, staged, sequential approach by tissue expansion is necessary to produce ideal results.