Below is useful information about receiving a form of reconstructive surgical treatment known as craniofacial surgery from Denver oral & maxillofacial surgeon, Dr. Randolph Robinson for a number of deformities and diseases:
Craniofacial surgery was developed by Dr. Paul L. Tessier in Paris, France. He did so in response to the pressing need to treat people with significant facial deformities. From the 1940s to the 1980s Dr. Tessier:
First as a pediatric surgeon, next as a maxillofacial surgeon for the wounded at a military hospital, then as one specializing in ophthalmological surgery, and ultimately as a craniofacial surgeon, improved surgical techniques to address craniofacial deformities. Today these techniques to reconstruct more severe birth and traumatic deformities in the facial and regions of the skull are used by maxillofacial, facial plastic, trauma, head and neck cancer/tumor surgeons, and neurosurgeons.
Many craniofacial procedures are covered by insurance. Contact your provider for coverage details. Learn what options you have for craniofacial surgery services at Robinson Cosmetic Surgery, Denver, CO by scheduling an appointment today:
The types of birth defects treated by craniofacial surgeons include various forms of: craniosynostosis, or conditions where the sutures on the plates of an infant’s skull close earlier than normal.
And some of these conditions go by names such as: Crouzon’s, Apert’s, Pfeiffer’s, Treacher-Collins, Goldenhare’s and Otomandibular Syndromes. There is also Robin Anomaly, Hemifacial Microsomia, and various types of Facial Clefting, often cited by the Tessier Facial Clefting Classification System. Such terms as orbital hypertelorism (abnormally increased distance between the eyes) and oro-ocular clefts may be associated with the above named conditions.
All of these conditions are rare. But prior to the development of craniofacial surgery techniques, it was very difficult to achieve satisfactory surgical results.
You Have Several Options
Treatment options will vary. In most of the skull cases, the first surgical procedure involves opening the fused growth suture in the skull at a very early age. Follow-up surgeries may take place around the ages of five to nine if the face does not grow properly.
These operations are typically major ones, involving bone grafts and/or prolonged hospitalizations. The treatments of hemifacial microsomia and facial clefting are performed at various ages, depending on the growth potential of the child. Operating too early may cause restriction of an area of growth. And operating too late may not facilitate it soon enough.
One of the most recent advances for the treatment of patients with craniofacial anomalies includes the use of distraction osteogenesis. This is a technique where a cut in the bone is made, then the bones are slowly pulled apart, and bone growth is actually stimulated. Currently, any child with a craniofacial problem could be considered for distraction osteogenesis.
A craniofacial team is important for the ongoing evaluation and treatment of the child. A typical team will include craniofacial surgeons, neuro (brain) surgeons, oculoplastic (eye orbit) surgeons, plastic surgeons, oral and maxillofacial surgeons, otolaryngology (ear, nose and throat) surgeons, speech and hearing specialists, nutritionists, ophthalmologists, orthodontists, pediatric dentists, a prosthodontist (makes orthodontic appliances), an anaplastologist (makes artificial body structures like eyes, noses, ears, limbs), social workers, and psychologists.
Other types of conditions
- Beckwith-Weiderman Syndrome
- Carpenter’s Syndrome
- Cleidocranial Dysostosis
- Down’s Syndrome
- Ehlors-Danlos Syndrome
- Hollerman-Streiff Syndrome
- Orofacial Digital Syndrome
- and Saethre-Chotzen Syndrome
Facial Cysts, Tumors and Diseases
Other cysts, tumors, and syndromes/conditions in the craniofacial region which require surgery and reconstruction include:
- Aneurysmal Bone Cysts
- Cystic Hygromas
- Dermoid Cysts
- Dentigerous Cysts
- Calcifying Epithelial Odontogentic Tumors
- Fibrous Dysplasia,Giant Cell Tumors
- Hemangiomas, Myxomas
- Ossifying Fibromas
- Amniotic Band Syndrome
- Binder’s Syndrome
- Facial Duplication
- Giant Hairy Nevus
- Juvenile Rheumatoid Arthritis
- and others
The craniofacial techniques were developed to treat and reconstruct the more severe birth deformities in the facial and regions of the skull to give children and families more normal lives.
Get Answers to Questions About Craniofacial Surgery
Please contact our office to schedule an appointment to talk to Dr. Randolph C. Robinson about any craniofacial surgery question you may have.