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Hemifacial microsomia is a congenital condition where one side of the face is underdeveloped. This condition can affect the ear, mouth, and jaw, and may extend to the eyes, cheekbones, and neck. Early diagnosis and intervention are crucial for optimal outcomes. Dr. James Bradley, a craniofacial surgeon in NYC, provides specialized care for children and adults with this condition, as well as craniosynostosis and other craniofacial anomalies.
Hemifacial Microsomia (Craniofacial Microsomia)
Hemifacial Microsomia typically affects one-side (unilateral) and involves both bone (lower jaw, cheek, orbit) and the soft tissue (ear, cheek fat, corner of the mouth, outer eyelids). It ranges from a mild deformity (ear skin tag only) to a severe deformity (Goldenhar Syndrome: involving the entire side of the face and neck). Involvement may include:
- ‘Microtia’: Outer ear deformity needs total ear reconstruction with rib cartilage graft.
- ‘Micrognathia’ Small or absent mandible that causes facial tilting.
- ‘Macrostomia’ widening or clefting of the corner of the mouth.
Correction of Craniofacial Microsomia Objectives
- Obtain facial symmetry.
- Rebuild lower jaw to provide the best dental bite. (Distraction procedure)
- Create a new external ear from a child’s own cartilage when needed. (Microtia repair)
- Transplant fat and soft tissue for a smooth symmetrical cheek contour..(Fat grafting)
Ideal Candidates
Ideal candidates for hemifacial microsomia surgery are individuals who experience significant asymmetry in facial features due to this condition. Pediatric patients can benefit greatly from early intervention, while adults may seek surgical options for aesthetic and functional improvements. Those considering craniosynostosis surgery in New York City will find personalized treatment plans tailored to their unique needs and goals at Dr. Bradley’s practice.
The Consultation Process
The consultation process begins with a comprehensive evaluation by Dr. Bradley. During the initial visit, Dr. Bradley will assess the severity of hemifacial microsomia and discuss potential treatment options. Imaging studies, such as CT scans, may be utilized to develop a precise surgical plan. For those seeking craniosynostosis treatment, Dr. Bradley provides a thorough explanation of the procedure, keeping patients and their families well-informed.
State-of-the-Art Techniques
Dr. Bradley is able to provide all of the necessary surgical corrective procedures at the appropriate time since he is known for his expert care in treating patients with craniofacial microsomia.
Recovery After Hemifacial Microsomia Surgery
Recovery from hemifacial microsomia surgery varies depending on the complexity of the procedure. Patients typically stay in the hospital for a few days post-surgery for monitoring. Pain and discomfort are managed with prescribed medications. Swelling and bruising are common and will gradually subside over a few weeks. Patients should avoid strenuous activities for several weeks to facilitate healing.
Most patients can resume normal activities within a few weeks, although full recovery may take a few months. Dr. Bradley and his team offer detailed guidance on post-surgical care to promote optimal recovery outcomes. For pediatric craniofacial surgery in NYC, the practice emphasizes a supportive environment for both patients and their families.
Schedule Your Consultation
If you or your child is affected by hemifacial microsomia or another craniofacial condition, scheduling a consultation with Dr. Bradley is the first step towards personalized care and treatment. Dr. Bradley’s expertise in craniosynostosis surgery in New York City means that patients receive the highest standard of care.
Hemifacial Microsomia FAQs
What is the right age for my child to start reconstruction?
Your child’s treatment plan, including the best timing of the procedure, is unique for your child. The timing considers function problems and social interactions of your child. Many of the procedures including jaw and ear reconstruction, happen between 5-8 years of age. ‘Final-stage’ procedures happen in the late teen-aged years.
Which specialists should be following my child?
Dr. Bradley will work with the ENT surgeon, orthodontist, speech pathologist, audiologist, and other specialist closely so that all needs are met at the appropriate time.
