Arch Craniofac Surg.  2016 Jun;17(2):82-85. 10.7181/acfs.2016.17.2.82.

Aesthetic Facial Correction of Cleidocranial Dysplasia

Affiliations
  • 1Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital, Busan, Korea. sominhwang@hanmail.net

Abstract

We report two cases of cleidocranial dysplasia, which was managed without significant craniofacial osteotomy. A mother and daughter, both of normal intelligence, presented with central forehead depression, mid-face hypoplasia, and blepharoptosis. The fact that they have an identically deformed face implied a genetic basis. In both patients, radiologic evaluation revealed the underdeveloped maxilla, persistent fontanelle opening, and cleidal aplasia. Clinical findings and radiologic studies were consistent with the diagnosis of cleidocranial dysplasia. Both patients underwent forehead plasty via bicoronal approach, augmentation rhinoplasty using tip plasty, and epicanthoplasty. In addition, the mother underwent malar augmentation using Medpor implantation and reduction genioplasty. The patients did not experience any postoperative complication and remained satisfied with the operation at 6-year follow-up.

Keyword

Cleidocranial dysplasia; Inborn genetic diseases; Maxilla; Clavicle

MeSH Terms

Blepharoptosis
Clavicle
Cleidocranial Dysplasia*
Depression
Diagnosis
Follow-Up Studies
Forehead
Genetic Diseases, Inborn
Genioplasty
Humans
Intelligence
Maxilla
Mothers
Nuclear Family
Osteotomy
Postoperative Complications
Rhinoplasty
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