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Craniofacial surgery

What is Craniofacial Surgery?

Craniofacial surgery is a specialised branch of cranio maxillofacial surgery that focuses on the correction of congenital and acquired deformities of the skull and face. These complex procedures are often required for children born with conditions like craniosynostosis – a premature fusion of skull sutures that affects normal brain and skull growth – or facial clefts, which can involve the lip, nose, and orbital bones. Such surgeries aim to restore both function and facial symmetry, improving breathing, vision, speech, and appearance. These procedures are usually performed by a multidisciplinary team led by the best oral and maxillofacial surgeon in India, often in coordination with neurosurgeons and plastic surgeons.

Conditions Treated by Craniofacial Surgery

  • Improved appearance and facial symmetry
  • Restoration of normal speech, feeding, and dental development
  • Long-term improvement in self-esteem and social interactions

Symptoms That May Indicate a Need for Craniofacial Surgery

  • Misshapen skull or face at birth
  • Abnormal head growth or intracranial pressure
  • Visible facial clefts
  • Breathing, vision, or feeding difficulties
  • Delayed developmental milestones

What Happens During Craniofacial Surgery (In Brief)

    1. Anesthesia & Monitoring:
    2. The patient is given general anaesthesia, and vital signs are continuously monitored throughout the procedure.
    3. Incision & Access:
    4. The surgeon makes precise incisions, often hidden within the hairline or natural creases, to access the skull or facial bones.
    5. Bone Work:
      • In conditions like craniosynostosis, fused skull bones are cut and reshaped to allow brain growth.
      • For facial clefts, trauma, or tumours, bones may be reconstructed using grafts or implants.
    6. Fixation:
    7. Repositioned bones are secured with plates, screws, or resorbable materials for stability.
    8. Closure & Dressings:
    9. The incisions are closed in layers, and sterile dressings or head wraps are applied. Drains may be placed to reduce swelling.
    10. Recovery Transfer:
    11. The patient is moved to the ICU or recovery room for monitoring of swelling, breathing, and neurological function.

Risks and Recovery after Craniofacial Surgery

  • Bleeding, infection, or anaesthesia-related complications
  • Swelling and temporary facial numbness
  • Recovery time varies from 2–6 weeks depending on the procedure
  • Pediatric cases may require long-term follow-up

Benefits of Craniofacial Surgery

  • Improved facial aesthetics and symmetry
  • Enhanced brain and skull development
  • Better airway, speech, and feeding function
  • Boosted self-esteem and psychosocial health

Post-operation care in Craniofacial surgery

  • Follow-up imaging and assessments
  • Soft diet and wound care as advised
  • Avoid strenuous activity for several weeks
  • Monitor for signs of infection or regression

When to Consult a Doctor for Craniofacial Surgery?

Early diagnosis is crucial. Consult the best oral and maxillofacial surgeon in India if your child shows signs of abnormal skull shape, facial asymmetry, or cleft conditions. Timely intervention leads to better outcomes and reduced complications.

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FAQ

Ideally between 6-12 months of age for best skull reshaping results.

Pain is well-managed with medications. Most children recover comfortably within a few weeks.

The procedure is typically led by a cranio-maxillofacial surgery expert, often regarded as the best oral and maxillofacial surgeon in India, in a multi-specialty hospital.

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