Reconstruction of Complex Facial Asymmetry: Problems and Refinements

This article describes 2 patients with complex facial asymmetry characterized by hemiarhinia, microorbitism, palpebral fissure shortening, ipsilateral canthal dystopia, maxillomandibular hypoplasia, and occlusal plane inclination. These unusual phenotypes are part of the oculoauriculo-vertebral spectrum. Their devastating functional, esthetic, and psychologic effects demand the use of different craniofacial surgery techniques, in order to alleviate the profound impact of these pathologies. Initial skeletal balance through bimaxillary distraction osteogenesis and orbital expansion sets the basis for further reconstruction of the nose and periorbital area with local tissue. Address correspondence and reprint requests to Oswaldo Javir Gómez Díaz, MD, Division of Plastic Surgery, School of Medicine, National University of Colombia, Caracas Avenue 1–13, Office of Surgical Specialties, Third Floor, Bogotá D.C., Colombia; E-mail: oswaldogomez@me.com Received 28 May, 2017 Accepted 2 February, 2018 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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