The management of gigantic benign craniofacial tumors: the reverse facial osteotomy.

A small group of patients is seen because of massive benign facial tumors, which include both soft tissue and bone overgrowth. These people cannot live a normal life because of their facial deformities. Four patients have been chosen to describe a one-stage technique of soft tissue removal and repositioning the facial skeleton utilizing a reverse facial osteotomy. Detailed planning by an experienced craniofacial team, together with preoperative embolization and profound hypotensive techniques have made surgery feasible with minimal blood loss. Rapid and effective rehabilitation of these unfortunate people now can be achieved.