Craniofacial - malformations

The treatment of craniofacial malformations is also an important and major area of specialisation of our Craniofacial Center with roughly 50- 70 operations per year. A highly experienced interdisciplinary team of maxillofacial surgeons, neurosurgeons, pediatricians, hand surgeons, orthodontists, speech therapists, ENT doctors and dentists is available to provide optimal treatment for a child with malformation in this area, in accordance with best current scientific knowledge. Our interdisciplinary treatment concepts are backed by over 30 years’ experience and successful treatment of over 1,500 patients with craniofacial malformations. Since there is a huge variety of these disorders, each treatment protocol must be adapted to the individual child's defirnuty. Our concepts are based on comprehensive studies of the skull and facial growth, which is critically important for the further progress of skull and facial growth. Our operative procedures integrate best scientific knowledge based on decades of successful treatment of these malformations, providing these children with the best possibility for leading a largely normal life.

Interdisciplinary concept for craniofacial malformations
at Münster Craniofacial Center
Time Simple craniosynostoses e.g. trigonocephaly,
plagiocephaly and similar
Apert syndrome
Crouzon disease
Pfeiffer syndrome
or similar
Treacher Collins
Hemifacial microsomy
Robin syndrome
or similar
Vascular malformations
Haemangiomas
Lymphangiomas
Hygromas
In the first days of life Consultation
Feeding, behavior, breast-feeding
Diagnosis
Pediatrician
Neurosurgery
Ophthalmologist
Maxillofacial surgeon
Consultation
Feeding, behavior, breast-feeding
Diagnosis
Pediatrician
Neurosurgery
Ophthalmologist
Maxillofacial surgeon
Consultation
Feeding, behavior, breast-feeding
Feeding plate possibly in extreme cases
Diagnosis
Pediatrician
Maxillofacial surgeon
ENT
Consultation
Feeding, behavior, breast-feeding
DiagnosisPediatrician
Maxillofacial surgeon
3 – 6 months
Weight >5 kg
Possibly shunt operation
Decompression of the brain by osteoclastic craniotomy
or fronto-orbital advancement
Check airway
Possibly shunt operation
Decompression of the brain by osteoclastic craniotomy
or fronto-orbital advancement
Check airway Check airway
Plan surgical removal if a major finding
4 – 8 months Ear check, hearing test,
possibly grommets
Ear check, hearing test,
possibly grommets
Ear check, hearing test,
possibly grommets
Maxillofacial and pediatric review
7 – 9 Months Maxillofacial, neurosurgical, ophthalmology and ENT review Maxillofacial, neurosurgical, ophthalmology, ENT and
hand surgeon review
Possibly closure of soft and hard palate
Maxillofacial and ENT review
Maxillofacial and
pediatric review
From 1 year Speech therapy consultation
Maxillofacial review
Speech therapy consultation
Maxillofacial review
Speech therapy consultation
Maxillofacial review
Speech therapy consultation
Maxillofacial review
From 3 years Possibly speech therapy Possibly speech therapy
Possibly hand surgery
Possibly speech therapy  
From 4 years Maxillofacial review
Orthodontic consultation
Maxillofacial review
Orthodontic consultation
Maxillofacial review
Orthodontic consultation
Possibly attempt at orthodontic treatment
Possibly lower jaw repositioning
Maxillofacial review
Orthodontic consultation
From 5 years Orthodontic treatment Orthodontic treatment Orthodontic treatment Maxillofacial review
Orthodontic consultation
From 7-12 years Fronto-orbital advancement
Midface distraction
Fronto-orbital advancement
Midface distraction
Orthodontic treatment
Possibly jaw surgery
Maxillofacial review
Orthodontic treatment
Possibly surgery