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Donald G. Sessions, MD; James O. Stallings, MD

Arch Otolaryngol. 1972;96(6):579-583.

Abstract
The first and second branchial syndrome refers to patients with unilateral macrostomia, hemignathia, severe ear deformity, and hypoplasia of the midfacial and temporal bones. These deformities may have a devastating effect on both patient and family, and early correction is advisable. The macrostomia should be corrected soon after birth. The hemifacial abnormality can be readily reconstructed with an autogenous dermisfat implant. Ear reconstruction should be delayed until the patient is mature enough to understand the importance of protecting the reconstructed ear.

Author Affiliations
Anchorage, Alaska

From the Department of Otolaryngology, USAF Hospital Elmendorg, Anchorage, Alaska. Dr. Sessions is now with Washington University School of Medicine, St. Louis, and Dr. Stallings is with New York University Medical School, New York.

Footnotes
Accepted for publication April 14, 1972.

Read before the committee on reconstructive plastic surgery, American Academy of Ophthalmology and Otolaryngology, Las Vegas, Nev, Sept 19, 1971.

The views expressed herein are those of the authors and do not necessarily reflect the views of the US Air Force or the Department of Defense.

Reprint requests to 517 S Euclid, St. Louis 63110 (Dr. Sessions).

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