Our Summary

This research paper discusses Treacher Collins syndrome (TCS), a genetic disorder that often results in facial deformities. Specifically, TCS can cause a sharp, counterclockwise tilt of the biting surface of the teeth and a small lower jaw with insufficient bone in the body and branch of the jaw. Such conditions often require surgical correction by a specialist in facial and skull surgery. The paper explores surgical strategies to correct the jaw deformity, employing techniques such as distraction osteogenesis which is a method to stimulate the body to grow more bone in the required area. When these techniques are applied correctly, they can yield excellent outcomes, greatly enhancing the life quality of these patients.

FAQs

  1. What is Treacher Collins syndrome and how does it affect the craniofacial structure?
  2. What surgical techniques are often used to correct mandibular deformities associated with Treacher Collins syndrome?
  3. How can mandibular distraction osteogenesis improve the quality of life for patients with Treacher Collins syndrome?

Doctor’s Tip

A doctor might tell a patient undergoing craniofacial surgery to follow all pre-operative and post-operative instructions carefully, including maintaining good oral hygiene and avoiding activities that could put pressure on the surgical site. They may also emphasize the importance of attending all follow-up appointments and communicating any concerns or changes in symptoms promptly. It is essential for the patient to work closely with their healthcare team to ensure the best possible outcome from the surgery.

Suitable For

Patients with craniofacial deformities such as Treacher Collins syndrome, Crouzon syndrome, Apert syndrome, and other genetic disorders that affect the development of the face and skull are typically recommended for craniofacial surgery. These patients may have issues with the size, shape, or position of their facial bones, as well as problems with breathing, eating, and speaking. Craniofacial surgery can help to correct these deformities and improve both the function and appearance of the face. Additionally, patients who have experienced trauma or injury to the face or skull may also benefit from craniofacial surgery.

Timeline

Before craniofacial surgery:

  • Patient is diagnosed with Treacher Collins syndrome, a genetic disorder that causes craniofacial deformities.
  • Patient undergoes consultations with craniofacial surgeons to discuss treatment options.
  • Pre-operative assessments and planning are conducted to determine the best surgical approach for the patient’s specific condition.

After craniofacial surgery:

  • Patient undergoes mandibular distraction osteogenesis or other related techniques to correct the mandibular deformity.
  • Patient is monitored closely during the post-operative period for any complications or issues.
  • Patient undergoes follow-up appointments with the craniofacial surgeon to assess the results of the surgery and make any necessary adjustments.
  • Patient experiences improved quality of life and aesthetic appearance following successful craniofacial surgery.

What to Ask Your Doctor

  1. What specific craniofacial deformities do I have that require surgery?

  2. What are the potential risks and complications associated with craniofacial surgery for my condition?

  3. What is the expected outcome and recovery time following craniofacial surgery?

  4. Are there alternative treatment options to craniofacial surgery for my condition?

  5. How experienced are you in performing craniofacial surgery for patients with my specific condition?

  6. Will I need additional surgeries or procedures in the future to maintain or improve the results of the initial surgery?

  7. What type of post-operative care and follow-up will be required after craniofacial surgery?

  8. How will craniofacial surgery impact my appearance, speech, and overall quality of life?

  9. Are there any long-term effects or complications that I should be aware of after craniofacial surgery?

  10. Can you provide me with before-and-after photos or testimonials from other patients who have undergone craniofacial surgery for similar conditions?

Reference

Authors: Peck CJ, Lopez J, Smetona JT, Steinbacher DM. Journal: Clin Plast Surg. 2021 Jul;48(3):431-444. doi: 10.1016/j.cps.2021.02.005. PMID: 34051896