CRANIOFACIAL | FACE

An Introduction

Congenital and acquired facial deformities can range from small single differences to specific syndromes that affect multiple regions of the face. Correcting these malformations requires experience and expertise of a reconstructive craniofacial plastic surgeon, as several procedures performed over the course of your child’s life may be necessary. Dr. Snider treats all types of facial anomalies and works closely with a multidisciplinary team of specialists including otolaryngology, feeding and speech therapy, audiology, genetics, and neurophysiology to bring advanced and individualized care to your child. Dr. Snider plays an integral role in your child’s care team and will be with you and your child through the entire process.

Hemifacial Microsomia

Hemifacial microsomia is the most common facial birth anomaly after cleft lip and palate. Typically, one side of the face is underdeveloped compared to the other, causing it to appear imbalanced. This condition affects the ear, mouth and jaw, but not all children with hemifacial microsomia have problems in all of these areas. Dr. Snider will create an individualized plan of care for your child, which may include reconstructing or creating a new ear, repositioning the eyelids, rebalancing the cheeks, repairing a cleft, and/or jaw surgery. Dr. Snider’s goal is to restore function and natural balance and harmony of your child’s facial features for optimal long-term results.

Pierre Robin Sequence

Pierre Robin sequence develops during pregnancy and is caused by a sequence of events that begins with a small lower jaw (micrognathia). The small jaw leads to a tongue position further back in the throat, which then causes airway obstruction. The tongue can also affect the formation of the roof of the mouth, leading to a cleft palate. Unobstructed breathing is critically important for adequate brain development of your child, and is of upmost importance to Dr. Snider. Based on your child’s jaw size, Dr. Snider will formulate an individualized plan to provide the greatest outcome with the least burden to your child. She also works closely with a multidisciplinary team including an otolaryngologist who specializes in pediatric airway to provide the safest and best results.

Treacher Collins (mandibulofacial dysostosis)

Treacher Collins is rare genetic syndrome characterized by distinctive abnormalities of the head and face that include downward slanting eyes, underdeveloped cheek bones and jaw, facial clefts, hearing loss, and external ear and eye abnormalities. Some children are very mildly affected, while others may have serious complications. Dr. Snider will work closely with you and your child, and a multidisciplinary team to formulate the best plan of care to maximize your child’s functional and aesthetic outcomes, while limiting the surgical burden.

Corrective Jaw (Orthognathic) Surgery

Orthognathic surgery repositions the upper and/or lower jaw in order to correct the alignment of the teeth and lower facial structure. It is a common procedure performed in patients with clefts, hemifacial microsomia, craniofacial syndromes, and other causes of incongruent jaw growth. If jaw alignment is left uncorrected, it may cause problems with chewing, speech, dental health, facial balance, and obstructive sleep apnea. Dr. Snider uses cutting edge technology, including virtual surgical planning, to outline the exact changes of the jaw position before surgery to provide the best functional and aesthetic outcome. This can be a life-changing procedure and is often performed after full facial development.

Rhinoplasty and Septoplasty

Rhinoplasty and septoplasty restore proper anatomic structural alignment of the internal and external nose. Full rhinoplasty is often performed after facial growth is complete, and is often one of the last facial procedures to be performed in children with a cleft or a craniofacial syndrome that affects nasal function and symmetry. Dr. Snider will sculpt the bone and cartilage components to obtain smooth and harmonious results, while preserving your child’s identity and facilitating improved nasal breathing. Dr. Snider’s specialized craniofacial training and experience helps her provide improved aesthetic and functional outcomes, achieving elegant and lasting results.

Nasal Trauma

Nasal trauma can lead to changes in the nose that affect overall facial appearance and nasal breathing. Nasal trauma typically affects the nasal bones and nasal septum, causing asymmetries that can obstruct airflow. Dr. Snider uses advanced techniques to restore your nose to its original shape, improving appearance and enhancing nasal breathing.