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Management of exorbitism using midface distraction osteogenesis
Ahmed Alyamani1, Peter Kessler, Sondos Abuzinada
1Department of Oral and Maxillofacial Surgery, King Abdulaziz University, P. O. Box 419, Jeddah, Saudi Arabia.
Journal of Maxillofacial and Oral Surgery
|March 2, 2013
Summary
Syndromal craniosynostosis can cause eye protrusion (exorbitism) and midface deficiency. Intraoral Le Fort III osteotomy followed by midface distraction osteogenesis effectively corrects these challenging conditions.
Area of Science:
- Craniofacial Surgery
- Pediatric Plastic Surgery
- Genetics and Syndromology
Background:
- Syndromal craniosynostosis presents complex challenges in patient management.
- Conditions like Crouzon and Apert syndrome feature exorbitism and midface hypoplasia.
- Untreated exorbitism, or eyeball protrusion, can lead to severe consequences.
Purpose of the Study:
- To evaluate the efficacy of intraoral modified Le Fort III osteotomy and midface distraction osteogenesis.
- To address exorbitism and midface hypoplasia in syndromal craniosynostosis patients.
Main Methods:
- The study included four patients with exorbitism and midface hypoplasia.
- Three patients had Apert syndrome, and one had Crouzon syndrome.
- All patients underwent an intraoral modified Le Fort III osteotomy followed by midface distraction osteogenesis.
Main Results:
- The described surgical technique was applied to patients with Apert and Crouzon syndromes.
- The treatment aimed to correct the anatomical deformities associated with these syndromes.
Conclusions:
- Distraction osteogenesis of the midface is a safe and highly effective treatment modality.
- This method successfully manages exorbitism in patients with midface deficiency.
