Craniofacial malformations are some of the most common structural birth defects. They often are the result of genetic disorders and may be associated with developmental and functional abnormalities, such as abnormal brain growth, hearing loss, and difficulty with breathing, chewing, swallowing, and speech. Craniofacial malformations range from cleft lip and palate to congenital growths and tumors, as well as complex craniofacial dysostosis and encephaloceles, in which the bones in the skull and face fuse abnormally. Treatment for these complex conditions may involve many specialties, including neurosurgery.
When appropriate, UPMC surgeons may utilize the Endoscopic Endonasal Approach (EEA) to reach and correct certain craniofacial malformations. This innovative, minimally invasive technique uses the nose and nasal cavities as natural corridors to access hard-to-reach or previously inoperable areas. EEA offers the benefits of no incisions to heal, no disfigurement to the patient, and a faster recovery time.
Craniofacial malformations can be diagnosed by imaging studies such as X-rays, CT and MRI scans.
Treatment depends on the type of malformation.
For certain craniofacial malformations, UPMC surgeons utilize the Endoscopic Endonasal Approach (EEA). This approach allows surgeons to access the base of the skull and top of the spine by operating through the nose and sinuses without making incisions to the face or skull. EEA offers the benefits of no incisions to heal, no disfigurement to the patient, and a shorter recovery time.
At UPMC, we take a 360° Approach to treatment when evaluating each patient—looking at their conditions from every direction—to find the path that is least disruptive to the patient's brain, critical nerves, and ability to return to normal functioning. Our neurosurgical team may recommend a combination of surgical approaches to maximize the benefits of surgery while minimizing risks.
