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printed condyle/fossa reconstruction in adults with
ankylosis [Figure 24] with consideration for integration
[18]
in the facial rotation procedure for hemifacial microsomia
following rib graft failure.
This article represents level 5 evidence, and therefore
a c e g i simply provides an expert opinion. The variability of
pathology, lack of a gold standard, different surgical
experiences, duration of the phased treatment, desiderata,
compliance and economic situation of the patients, and
use of new technologies prohibit valid sampling and
prospective analyses. Nonetheless, it is hoped that the
b d f h j comprehensive treatment planning described in this
Figure 22: The same patient as in Figure 20. (a and b) Before joint report may be used to promote optimal patient care.
reconstruction; (c and d) after joint reconstruction; (e and f) before facial
rotation, after orthodontic preparation; (g and h) after facial rotation;
(i and j) after three-dimensional (3D) titanium print implantation of the REFERENCES
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Figure 23: Pruzansky-Kaban Type III. Microvascular fibula transfer in 11. Molina F, Ortiz Monasterio F. Mandibular elongation and remodeling by
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Figure 24: Bilateral three-dimensional printed temporomandibular joint (TMJ)
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subsequent fall in use. Microvascular fibula transfer in a
[13]
young patient [Figure 23] has been used, but the author How to cite this article: Mommaerts MY. Hemifacial microsomia:
[14]
has returned to nonvascularized rib transplantation. management of the vertical ramus compartment. Plast Aesthet Res
[15]
2015;2:99-106.
Microvascular parascapular dermofat transfer has been
[16]
abandoned by the author in favor of nonvascularized Source of Support: Nil, Conflict of Interest: None declared.
gluteal fat transfer. The author has also used 3D Received: 01-02-2015; Accepted: 07-04-2015
[17]
106 Plast Aesthet Res || Vol 2 || Issue 3 || May 15, 2015