Soft Tissue Reconstruction in Patients With Hemifacial Microsomia: A Systematic Review of the Literature

The Journal of Craniofacial Surgery
Nicholas SinclairAntonio Rampazzo

Abstract

Hemifacial microsomia is the most common congenital disorder of the face after cleft lip and palate. While treatment of the bony abnormalities has been well documented, less attention has been paid to correction of the soft tissue deformity. This study aimed to systematically review the literature addressing the techniques utilized to correct the soft tissue deformity in hemifacial microsomia. A comprehensive review of peer-reviewed literature regarding the management of soft tissue reconstruction in patients with hemifacial microsomia was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. Odds ratio was used to assess differences in complication rates between reconstructions performed with free tissue transfer and fat grafting. The literature search yielded 38 articles that were fully reviewed for data extraction. Articles were grouped into one of 5 reconstructive modalities-pedicled flap, microvascular free tissue transfer, structural fat grafting, alloplastic implant, and functional reconstruction. Microvascular free tissue transfer had a complication rate of 27.1%, while structural fat grafting had a complication rate of 4.2% (odds ratio 6.7, P = 0.0003). Microvascular f...Continue Reading

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Citations

Jun 11, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Rafael Denadai, Lun-Jou Lo
Oct 20, 2020·The Journal of Craniofacial Surgery·Sebastian IgelbrinkSusanne Jung
Nov 3, 2020·The Journal of Craniofacial Surgery·Sebastian IgelbrinkSusanne Jung
Mar 4, 2021·The Journal of Craniofacial Surgery·Yoshiaki Sakamoto, Eric Arnaud
Sep 13, 2021·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Mohamad Reza AkbariMehdi Ranjbar Pazouki

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