Conceptual Principles in Pediatric Craniomaxillofacial Reconstruction

Andrew D Linkugel; Michael Markiewicz; Sean Edwards; Srinivas M Susarla

doi:10.1016/j.coms.2024.03.006

Conceptual Principles in Pediatric Craniomaxillofacial Reconstruction

Oral Maxillofac Surg Clin North Am. 2024 May 4:S1042-3699(24)00028-1. doi: 10.1016/j.coms.2024.03.006. Online ahead of print.

Authors

Andrew D Linkugel¹, Michael Markiewicz², Sean Edwards³, Srinivas M Susarla⁴

Affiliations

¹ Craniofacial Center, Seattle Children's Hospital, 4800 Sand Point Way NorhtEast, Seattle, WA 98105, USA; Division of Plastic Surgery, Department of Surgery, University of Washington School of Medicine, Seattle, WA, USA.
² Department of Oral and Maxillofacial Surgery, University at Buffalo School of Dental Medicine, 3435 Main Street, 112 Squire Hall, Buffalo NY 14214, USA.
³ Department of Oral & Maxillofacial Surgery, University of Michigan School of Dentistry, 2200 Vinewood Boulevard, Ann Arbor, MI 48104, USA.
⁴ Craniofacial Center, Seattle Children's Hospital, 4800 Sand Point Way NorhtEast, Seattle, WA 98105, USA; Division of Plastic Surgery, Department of Surgery, University of Washington School of Medicine, Seattle, WA, USA; Department of Oral and Maxillofacial Surgery, University of Washington School of Dentistry, Seattle, WA, USA. Electronic address: srinivas.susarla@seattlechildrens.org.

PMID: 38705817
DOI: 10.1016/j.coms.2024.03.006

Abstract

Pediatric craniomaxillofacial reconstruction must be approached through the lens of growth and durability. A systematic approach of matching defects to donor tissue drives the selection of autologous donor material. The menu of available techniques for reconstruction can be organized in a ladder, similar to adults, with additional considerations. Reconstructive surgeons have the opportunity to promote and maintain young patients' sense of identity during their psychosocial development.

Keywords: Bone grafts; Craniomaxillofacial; Cranioplasty; Free tissue transfer; Pediatric; Reconstruction; Tissue flaps.

Publication types

Review