Document Type
Article
Publication Date
7-1-2015
Abstract
Monobloc Le Fort III distraction osteogenesis allows superior skeletal advancement in treating severe syndromic craniosynostosis. We report a rare orbital complication in a 3-year-old boy with Crouzon syndrome who developed right-eye exodeviation with limited abduction during the intradistraction period following this surgery. Images from a computed tomography scan confirmed direct impingement of the distracted right lateral orbital wall to the lateral rectus muscle. The impingement was surgically relieved via lateral orbital wall osteotomy. Ten months postdistraction, a review showed normal eye movement. A lateral orbital osteotomy cut for a monobloc Le Fort III distraction should be designed near the rim to prevent this complication.
Keywords
Craniofacial surgery, Crouzon syndrome, Distraction osteogenesis, Monobloc Le Fort III, Orbital complication
Divisions
OralMaxillofacialSurgery
Publication Title
The Cleft Palate-Craniofacial Journal
Volume
52
Issue
4
Publisher
The American Cleft Palate-Craniofacial Association