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Intracranial subdural hygroma after Le Fort I osteotomy
William L Thompson1, Michael Lee2, Robert Bruce MacIntosh3
1Surgeon, Huntington Group, Huntington Woods, MI.
Summary
A rare intracranial subdural hygroma complication occurred after Le Fort I osteotomy. This case highlights a previously unreported risk requiring neurosurgical intervention following the oral surgery.
Area of Science:
- Oral and Maxillofacial Surgery
- Neurosurgery
- Surgical Complications
Background:
- Le Fort I osteotomy is a common surgical procedure for correcting midface deformities.
- While various complications are known, intracranial complications are exceptionally rare.
- Subdural hygromas have not been previously documented following this specific procedure.
Observation:
- This report details a unique case following a Le Fort I advancement.
- The patient developed an intracranial subdural hygroma, a collection of cerebrospinal fluid.
- This specific complication has not been previously associated with this type of osteotomy.
Findings:
- The intracranial subdural hygroma necessitated neurosurgical intervention.
- This finding expands the spectrum of known complications after Le Fort I osteotomies.
- It underscores the importance of considering neurological complications.
Implications:
- Oral and maxillofacial surgeons should be aware of this potential rare complication.
- Further research may be needed to understand the pathophysiology and incidence.
- This case emphasizes the need for vigilance and prompt diagnosis of neurological deficits post-Le Fort I surgery.
