用于颅底入路的两段式Le Fort I截骨术：9例患者的评估
The 2-piece Le Fort I osteotomy for cranial base access: an evaluation of 9 patients.
作者信息
Eisig S B, Feghali J, Hall C, Goodrich J T
机构信息
Department of Dentistry/Oral & Maxillofacial Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY 10467, USA.
出版信息
J Oral Maxillofac Surg. 2000 May;58(5):482-6. doi: 10.1016/s0278-2391(00)90006-5.
PURPOSE
This article discusses the use of the 2-piece Le Fort I osteotomy to gain access to the cranial base and the authors' experiences with this technique.
METHODS
Medical records of patients who required surgical access to the cranial base were retrospectively reviewed, and demographic data, procedures done, postoperative results, and complications were recorded.
RESULTS
Nine patients underwent a 2-piece Le Fort I osteotomy. Complications included development of a pseudoaneurysm of the internal carotid artery in 1 patient, 2 cerebrospinal fluid leaks, both of which resolved, and 1 patient who lost 2 teeth and some associated bone.
CONCLUSION
The 2-piece Le Fort I osteotomy provides excellent access to the clival region of the cranial base with minimal complications.
目的
本文讨论使用两段式Le Fort I截骨术进入颅底以及作者使用该技术的经验。
方法
回顾性分析需要通过手术进入颅底的患者的病历，记录人口统计学数据、所进行的手术、术后结果及并发症。
结果
9例患者接受了两段式Le Fort I截骨术。并发症包括1例患者出现颈内动脉假性动脉瘤、2例脑脊液漏（均已解决）以及1例患者脱落2颗牙齿和一些相关骨质。
结论
两段式Le Fort I截骨术能以最小的并发症为颅底斜坡区域提供良好的入路。
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