Distraction Osteogenesis in a Tessier 6 Cleft After Fronto-Orbito-Zygomatic Osteotomy - A Case Report.
作者信息
Bütow Kurt-Wilhelm, Eroğlu Çağla, Zwahlen Roger Arthur
机构信息
Department of Maxillo-Facial Surgery, Wilgers Hospital, Pretoria, South Africa.
Department of Oral and Maxillofacial Surgery, Bezmialem Vakif University, Istanbul, Turkey.
出版信息
Ann Maxillofac Surg. 2021 Jul-Dec;11(2):306-308. doi: 10.4103/ams.ams_188_21. Epub 2022 Feb 1.
THE RATIONALE
Craniofacial clefts are rare malformations. According to their localization, 15 types are classified.
PATIENT CONCERNS
They referred to impaired eyelid function, lateral protection of the eye-bulb, and aesthetic appearance.
DIAGNOSIS
A three-dimensional-computerized tomography scan and a stereolithographic model led to the diagnosis of a rare intraorbital Tessier 6 cleft.
TREATMENT
A newly designed lateral orbital rim osteotomy, presurgically simulated on a stereolithographic model, was performed to forward position the lateral orbital rims bilaterally by osteodistraction.
OUTCOMES
Both lateral orbital rims were distracted anteriorly for around 12 mm over a period of 9 weeks, without any side effects to the patient.
TAKE-AWAY LESSONS: In this intraorbital Tessier 6 cleft, an improved eyelid function with better lateral protection of the eye bulb and more favorable aesthetic appearance was achieved with this novel lateral orbital rim osteotomy.
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