The Use of a Temporal Osteoperiosteal Flap for the Reconstruction of Malar Hypoplasia in Treacher Collins Syndrome

Reconstruction of complex defects with composite calvarial flaps

“…The other advantages are a hidden donor site with minimal discomfort [15]. The three types of composite flap: pedicled on the temporalis muscle; osteomuscular flap [16,17], pedicled on temporalis muscle, deep and superficial (temporal) fascia; osteomusculofascial flap [18], pedicled on the superficial temporal fascia; osteofascial flap [19][20][21]. Our preference is for the latter type, the pedicle is thin, has a wide area of rotation, and there is no notable deformity in the temporal area.…”

“…Satisfactory results have been obtained with the composite calvarial flap in congenital disorders such as Treacher Collins syndrome [17,19,23] in which free bone grafts consistently resorb. It is also useful in the treatment of post-traumatic orbitozygomatic deformities [24].…”

Clinical evaluation of techniques used in the surgical treatment of progressive hemifacial atrophy

“…It was reported (Jackson et al, 1986) that bone grafts are the best material for hard tissue augmentation; because of poor blood supply to these tissues that interfere with any type of autograft, we are not totally in agreement with this author. Other options are the advancement osteotomy and osteogaleal temporal flap (Cutting et al, 1984;van der Meulen et al, 1984;Maillard, 1988).…”

“…Free omentum (Upton et al, 1980;Jurkiewicz and Nahai, 1985), groin (Harashina et al, 1977;Wells and Edgerton, 1977;Anderl, 1979;Dunkley and Stevenson, 1990;Smith and Manktelow, 1990), rectus abdominis (Jackson et al, 1986), parascapular (Nassifet al, 1982, radial forearm, and latissimus dorsi (Horl et al, 1991) flaps have all been used in the last decade. Furthermore bone temporalis flaps ha.ve been reported to fill hard tissue defects of the face (Cutting et al, 1984;van der Meulen et al, 1984;Fukuta et al, 1991). Good results are reported when the free serratus anterior flap is used.…”

Free myocutaneous rectus abdominis flap for tissue augmentation of the face in an adult patient with bilateral facial microsomia

“…The methods of treatment are multiple and the rule according to Obsweger [14] should be "First the bone then the soft tissue...". This rule was accepted by many authors who first treated the bone defect and later the soft tissue [14,19] or both in one instance [11,15]. With the introduction of free flaps a new era opened and there was a possibility of fulfilling defects with soft tissue transferred from another area.…”