The deformities involving skull and face are inter related these cases needs craniofacial approach along with Neurosurgeons. These cases are performed at Bombay Hospital and Medical research centre which has team of Neurosurgeon, Pediatric Neuro anesthetist, Craniofacial Plastic surgeon, Pediatrician. The deformities like Scaphocephaly, Brachycephaly, Plagiocephaly, Trigonocephaly , Miningoencephalocele , Orbital Hypertelorism & Rare Craniofacial Clefts are corrected in this hospital. We also deal with complex craniofacial trauma use A-O principles of fracture fixation.
Tissue expansion technique is used in deformities where we need good quality of skin for reconstruction. The common indications are total nose reconstruction using expanded forehead flap, post burns scalp alopecia. The procedure involves insertion of silicon tissue expander under the skin at first stage. The expantion started by injecting saline through the external unidirectional port. After complete expantion and maturation at second stage the expander is removed and this expanded skin is used for reconstruction.
Post burns deformities involve ectropion of eye lids . facial scars eye brow econstruction, scalp alopecia, contractures of neck, elobow, & hand. Use of full thickness skin grafts, split thickness skin grafts , local flaps are used to correct the deformities.