Bendor-Samuel R, Chen Y R, Chen P K
Department of Surgery, University of Manitoba, Canada.
Plast Reconstr Surg. 1995 Nov;96(6):1289-96; discussion 1297.
In this report we describe three very different and interesting complications of the Le Fort I osteotomy. The first case is of a unilateral third nerve palsy developing as a result of a carotid-cavernous fistula and false aneurysm of the internal carotid artery. The second complication to be reported is total unilateral blindness. The third case is one of total avulsion of a lateral segment of the palate in a patient with a complete bilateral cleft of the primary and secondary palates. All complications were the result of a Le Fort I osteotomy performed for correction of midface hypoplasia secondary to congenital cleft lip and palate. The literature is reviewed, and the pathomechanics of each injury are hypothesized.
在本报告中，我们描述了勒福Ⅰ型截骨术的三种截然不同且有趣的并发症。第一例是因颈内动脉海绵窦瘘和假性动脉瘤导致的单侧动眼神经麻痹。要报告的第二种并发症是完全性单侧失明。第三例是一名原发腭和继发腭完全双侧腭裂患者出现腭外侧段完全撕脱。所有并发症均为因先天性唇腭裂继发面中部发育不全而施行勒福Ⅰ型截骨术所致。本文回顾了相关文献，并对每种损伤的发病机制进行了推测。
