Mavili M Emin, Tunçbilek Gökhan
Department of Plastic and Reconstructive Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.
Cleft Palate Craniofac J. 2004 Nov;41(6):579-83. doi: 10.1597/03-102.1.
The traditional treatment for patients with syndromic craniosynostosis and midfacial retrusion has consisted of Le Fort III osteotomy and advancement. Distraction with rigid external systems allows advancement of the midface segment much more than the conventional methods. This excessive advancement resulted in the superiormost margin of the advancement segment becoming prominent. It can be felt easily with palpation and may influence the appearance of the patient negatively. This article presents a procedure osteotomy designed to modify the osteotomy lines at the lateral orbital rims and smooth the step deformity at the lateral canthal region.
The seesaw osteotomy produced a smooth contour at the lateral orbital rim. Planned advancement was achieved without difficulty and without adverse long-term effects.
综合征性颅缝早闭和面部中部后缩患者的传统治疗方法包括勒福Ⅲ型截骨术和前移术。使用坚固的外部系统进行牵引能使面中部节段比传统方法前移更多。这种过度前移导致前移节段的最上缘突出。通过触诊很容易感觉到，可能会对患者外观产生负面影响。本文介绍一种截骨术，旨在修改眶外侧缘的截骨线并消除外眦区域的阶梯状畸形。
跷跷板截骨术使眶外侧缘轮廓平滑。顺利实现了计划的前移，且无长期不良影响。
