Reconstructive maxillofacial surgery in a resource poor setting: Challenges encountered in a paediatric case

Abstract

Background: Facial reconstruction in a paediatric patient requires peculiar considerations. For optimal outcome, comprehensive pre-surgical evaluation, surgical expertise, appropriate tools and facilities, and serial outcome monitoring are essential. The aim of this study was to highlight some challenges militating against optimal outcome in facial reconstruction in a developing country based on the experience in managing a paediatric patient.
Methods: Using a case of post-traumatic facial deformity in a paediatric patient, the factors affecting optimal outcome in a resource-poor setting were identified and discussed.
Results: Identified issues related to: nature of injury, age and gender considerations, depth of expertise and extent of surgery required for bony, soft tissue and nerve repairs, facility for comprehensive evaluation, surgical planning and execution and finance.
Conclusion: The restoration of a deformed face is challenging, but the scenario could be further complicated when essential resources are not available. Additional considerations must be entertained in a paediatric patient. 

Keywords: facial reconstruction, paediatric, free tissue transfer