Facial reconstructive Surgery

cfc Hirslanden, interdisciplinary center for facial reconstructive surgery, orbital surgery and neurosurgery.
Dr. Rohner, Prof. Hammer

 

Several organs of multifunctional importance are compactly assembled in the cranio-maxillofacial region. Consequently, cancer resections with adequate safety margins are often significantly debilitating and call for complex primary or secondary reconstructive procedures. Similarly, trauma or atrophy can also originate moderate to severe deficiencies in the hard and soft tissues. Regardless of the etiology of the defect, the goal is the replacement of the lost hard and soft tissues together with the reestablishment of the patient’s premorbid function and esthetics. In order to achieve an optimal outcome, a comprehensive multidisciplinary team approach is needed. Indeed, all dimensions and stages of composite cranio-maxillofacial reconstruction require high precision and excellent coordination between the reconstructive surgeon, the prosthodontist and the maxillofacial technician.


Indications for facial reconstructive surgery include:

  • Reconstruction of post-traumatic facial defects
  • Reconstruction of facial defects after tumor resection
  • Reconstruction of facial defects after osteoradionecrosis

 

Associate Prof. Dr. Rohner is highly experienced in microvascular reconstruction of the cranio-maxillofacial area. In addition, he has developed a unique technique for the prefabrication of fibular grafts that entails a dramatic conceptual change in the conventional treatment workflow. The starting point is the desired end occlusion, in other words, the desired functional-esthetic outcome. Based on this goal, which is absolutely patient-specific, the entire step-by-step reconstruction is designed and “prefabricated”. Dr. Rohner acts on a regular basis as keynote lecturer on international meetings where he presents his experience in complex maxillofacial reconstruction.