A composite flap for early treatment of hemifacial microsomia.

A composite flap based on the thoracodorsal pedicle is described for use in the early surgical treatment of children with hemifacial microsomia, having absence or gross hypoplasia of the upper vertical ramus of the mandible and associated soft tissue hypoplasia in the cheek. The flap offers some fascinating possibilities in restoration of function and growth which have yet to be explored.