Treacher Collins

Treacher Collins

  Treacher collins Treacher collins syndrome can be genetically inherited or occur as new mutations and cause a pattern of facial clefting as well as a small lower jaw.  Treatment is aimed at first improving the anterior projection of the lower jaw  and opening up the airway which is often using mandible distraction techniques.  This will pull the tongue base forward and open up the airway, possibly reducing the need for tracheotomy.     Excision of ear remnants (6mos)...

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Scar Revision/Trauma

Scar Revision/Trauma

    FACT: Any break in the skin that penetrates to the deep dermis will leave a scar As mere mortals, there is almost nothing we can do to prevent scar formation, but we do have techniques that allow us to minimize the amount of scars formed.  How much scar we form is based on many things, most importantly: genetics, tension on the skin when closed, anatomic location, and surgeon’s ability. As a plastic surgeon, we are trained in techniques to help minimize...

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Alopecia

  Scalp Reconstruction Cancers or trauma can leave large defects in the scalp or areas of missing hair (alopecia).  Large rotational flaps or sometimes tissue expanders (balloons) are needed to re-establish the hairline (remove areas of alopecia) and close complex scalp wounds. Dr. Nicholas Bastidas is a plastic and reconstructive surgeon specializing in the treatment of pediatric and adult craniofacial, cleft and vascular abnormalities. Dr. Bastidas is a leader in...

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Facial Fractures

Facial Fractures

  Facial Fractures Nasal bones are the most common facial fracture, usually resulting from falls or altercations. In the first 2 weeks after the injury the bones can often be reset without making any incisions under anesthesia.  Late presenting injuries require osteotomies (re-breaking the bone) to restore the normal bony architecture of your nose. ZMC (zygomasticomaxillary complex) fractures are probably the second most common fracture.  This fracture usually involves...

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Pierre-Robin Sequence

    Pierre-Robin Sequence A small lower jaw (mandible) can lead to abnormal tongue positioning causing a cleft palate which may obstruct the airway in some newborns.  The small jaw prevents the tongue from lying forward and can be fatal if unrecognized.  A craniofacial surgeon can help the problem by bringing the lower jaw forward by a process known as Mandibular distraction. Lengthening the jaw may alleviate the obstructive sleep apnea, improving your child’s...

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Mandibular Hypoplasia

Mandibular Hypoplasia

  Mandibular Hypoplasia A small lower jaw is known as mandibular hypoplasia and it can be isolated or part of a syndrome (along with other deformities). One or both sides of the jaw can be involved and treatment is aimed at lengthening the part of the jaw that is affected.  This can be accomplished surgically using either bone grafts or mandibular distraction.  Treatment is aimed at improving the facial aesthetics as well as the functional bite (occlusion). Dr....

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