Feng Shi, Zhang Zhiyong, Shi Lei, Tang Xiaojun, Liu Wei, Yin Lin, Yang Bin
From the Department of Maxillofacial Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
J Craniofac Surg. 2015 Mar;26(2):e185-7. doi: 10.1097/SCS.0000000000001452.
Temporal bone absorption is a very infrequent complication following a intraoral mandibular distraction. We present a case of severe temporal bone absorption with skull base bone destruction in a child who experienced the mandibular distraction operation. In her follow-up of the 6th month, it was observed that the implanted distraction device drilled to the temporal bone and stretch into the middle cranial fossa. We recommend to optimize the positioning of the osteotomy and the design of the distraction to avoid the otential risk of adjacent skull destruction.
颞骨吸收是下颌骨口内牵引术后一种非常罕见的并发症。我们报告一例接受下颌骨牵引手术的儿童发生严重颞骨吸收并伴有颅底骨质破坏的病例。在她术后6个月的随访中，观察到植入的牵引装置钻入颞骨并延伸至中颅窝。我们建议优化截骨术的定位和牵引设计，以避免邻近颅骨破坏的潜在风险。
