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A Review of an Unusual Craniofacial Deformity With a Report of a Case

Maj Douglas D. Dedo, MC

Arch Otolaryngol. 1978;104(9):538-541.

Abstract
• Progressive hemifacial atrophy is an unusual craniofacial deformity that is amenable to surgical reconstruction. The disease may involve any layer of the superficial facial tissues as well as cartilage and bone. While the cause of the disease is unknown, several hypotheses exist to account for the progressive nature of the disorder. Histologically, the skin undergoes thinning of the Malpighian stratum and atrophy of the skin adenexa and dermal units. The subcutaneous tissue shows chronic inflammatory changes. This picture closely resembles that of scleroderma, and some authors believe the disorder to be an isolated form of scleroderma. Various hypotheses have been promulgated as to the cause of this disorder, its pathologic process, and varied clinical presentation.

(Arch Otolaryngol 104:538-541, 1978)

Author Affiliations
USAF

From the Department of Otolaryngology, Wright-Patterson Air Force Base Medical Center, and Wright State University Medical School, Dayton, Ohio.

Footnotes
Accepted for publication Feb 27, 1978.

Read before the American Academy of Facial Plastic and Reconstructive Surgery, Boston, May 13-14, 1977.

The opinions expressed are those of the author and are not those of the Department of the Air Force or the Department of Defense.

Reprint requests to 1515 N Flagler Dr, West Palm Beach, FL 33401 (Dr Dedo).

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