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Houston Cranio Facial

Reconstructive Surgery

What Causes Torticollis and Head Tilt?

Torticollis is defined as twisted or tight neck muscles causing a head to tilt to one side. Some parents ask what is the treatment for correcting a head tilt or neck tightness known as torticollis? To answer this question, we first need to understand the cause or reason for the head tilt. There are 3 main types of torticollis: Postural Muscular Neck or Sternocleidomastoid mass When performing a physical exam to determine the cause we... Continue Reading

Reconstructive Surgery

What Is Revision Ear Surgery?

Revision of a previous ear surgery can be quite difficult. Dr. Payne is one of the few craniofacial plastic surgeon specialists trained to perform revision otoplasty on adults and children to correct bad outcomes from previous ear surgery. Complications from ear surgery can include: Infection Over pinned back ears (overcorrection) Relapse of ear deformity (rupture of suture) Loss of skin or cartilage of the ear Abnormal position of the ear Significant asymmetry of the ears... Continue Reading

Reconstructive Surgery

What Is Parry-Romberg Syndrome?

Parry–Romberg syndrome, or progressive hemifacial atrophy, is a disease characterized by localized loss of subcutaneous tissue on one side of the face and skull. Or in other words, the shrinking and degeneration of the soft and bony tissues under the skin. This is a rare neurocutaneous syndrome with an unknown etiology or cause. Typically, this affects females more commonly than males in a 3-2 ratio with usual beginning stages at around the teenage years of... Continue Reading

Reconstructive Surgery

Chin Augmentation versus Osseous Genioplasty

For people with a small chin who want to enhance their appearance there are two options to pursue surgical correction. One option includes using a chin implant, also known as chin augmentation. The other option is to perform an osseous genioplasty, which involves surgically cutting the bone and advancing it forward. We will discuss the pros and cons of each option. For chin augmentation, we typically will use a contoured two-piece chin implant that will... Continue Reading

Reconstructive Surgery

What Is Skull Reconstruction?

Skull reconstruction involves restoring not just the bone defect but also muscle, fat and skin defects to establish a more normal structure and appearance. The skull deformity or defect can be due to tumor, trauma or infection. Typically, patients are seen after emergency neurosurgery is performed to save a person’s life. In these situations, resolution of the life-threatening issue takes priority over reconstruction. Dr. Eric Payne is a craniofacial plastic surgeon who is trained in... Continue Reading