Tulasne J F, Tessier P L
Cleft Palate J. 1986 Dec;23 Suppl 1:40-9.
A new procedure is proposed for correction of the malformations of severe cases of Treacher Collins syndrome in the areas of the maxilla, mandible, and orbit. The operation essentially consists of a rotation of the midfacial segment around a transverse axis at the frontonasal angle. The midface is rotated forward anteriorly and downward posteriorly. It is stabilized by cranial grafts impinged into the temporal bone and the maxilla. The mandible is lengthened either by V shape osteotomy or bone grafting of the ramus. The mandible is fixed in an overjet class III dental occlusion. A posterior bite wafer is maintained for 2 months. The construction of the orbital cavity is completed with cranial bone grafts. The Tessier integral procedure for Treacher Collins syndrome has been done in one stage in six patients and in two stages in five patients. Sufficient data were available for analysis of only four patients.
提出了一种新的手术方法，用于矫正特雷彻·柯林斯综合征严重病例在上颌、下颌和眼眶区域的畸形。该手术主要包括面中段围绕额鼻角的横轴旋转。面中部向前上方和向后下方旋转。通过植入颞骨和上颌的颅骨移植片来稳定。下颌骨可通过V形截骨术或下颌支植骨术延长。下颌骨固定在III类覆盖咬合状态。后牙咬合板保持2个月。眼眶腔的构建通过颅骨移植片完成。特雷彻·柯林斯综合征的泰西埃完整手术在6例患者中一期完成，在5例患者中二期完成。仅有4例患者有足够的数据可供分析。
