A Soft Tissue Approach to Treacher Collins Reconstruction

Abstract

Treacher Collins syndrome is an autosomal dominant mandibulofacial dysostosis with characteristic hard and soft-tissue facial abnormalities. These include ocular malformations, ear malformations, and hypoplasia of the facial skeleton, especially of the malar bones and mandible. Traditionally, surgical correction of the facial abnormalities has focused on skeletal reconstruction to restore facial form and symmetry. In this report, the authors described the use of customized parascapular free flaps, after craniofacial surgery, for the correction of defects of facial contour in Treacher Collins patients.