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Related Experiment Videos

Strabismus in craniofacial dysostosis.

J D Carruthers1

  • 1Department of Ophthalmology, University of British Columbia, Canada.

Graefe'S Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie
|January 1, 1988
PubMed
Summary

Craniofacial dysostosis surgery in children, including Apert

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Area of Science:

  • Pediatric Neurosurgery
  • Craniofacial Surgery
  • Ophthalmology

Background:

  • Craniofacial dysostosis syndromes like Apert and Crouzon require complex surgical interventions.
  • Orbital retrusion is a common feature necessitating craniectomies.
  • Ocular motility issues can coexist with these conditions.

Observation:

  • Ten pediatric patients with craniofacial dysostosis underwent craniectomies for orbital retrusion.
  • Follow-up ranged from 3 months to 7 years.
  • Pre-existing ocular alignment issues were noted in several patients.

Findings:

  • Infantile craniectomy did not alter ocular alignment in any patient.
  • Ophthalmologic anomalies included sixth nerve paresis, superior rectus weakness, ptosis, and exorbitism.
  • Some patients required multiple procedures due to failed bony orbital growth.

Implications:

  • Cranial vault surgery for craniofacial dysostosis does not impact pre-existing ocular alignment.
  • Management of associated ophthalmologic conditions requires careful consideration.
  • Long-term follow-up is crucial for patients with severe bony orbital growth failure.

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