Invited discussion: Surgical treatment of Treacher Collins syndrome.

摘要

The authors present their retrospective review of 50 patients operated on at the Hospital, of Plastic Surgery in Polanica Zdroj between 1976 and 2005. They performed 258 total operations, for an average of 5.2 procedures per patient. Previously described techniques were used in the surgical management of these patients. These included mandibular distraction, palatoplasty, musculocutaneous eyelid flaps, dermal grafts, iliac crest bone grafts, chin osteotomies, auricular reconstruction, and nasal osteotomies. From their review, they conclude that a multidisciplinary approach is required, with emphasis on hearing impairment and occlusal disturbances. Methods other than nonvascularized bone grafts are also recommended to correct the orbitomalar tissue deficiency due to significant resorption.