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Ocular motility in craniofacial reconstruction.

G R Diamond, L Whitaker

    Plastic and Reconstructive Surgery
    |January 1, 1984
    PubMed
    Summary

    Craniofacial surgery rarely causes new strabismus in children. When it occurs, it

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    Area of Science:

    • Ophthalmology
    • Pediatric Surgery
    • Craniofacial Surgery

    Background:

    • Craniofacial reconstruction in children can impact ocular alignment.
    • Understanding the incidence and nature of strabismus post-surgery is crucial for pediatric ophthalmology.

    Observation:

    • 140 children undergoing major craniofacial reconstruction were evaluated.
    • Only 10% experienced surgically induced horizontal alignment changes.
    • Two new cases of strabismus were directly linked to cranial nerve palsies post-surgery.

    Findings:

    • The majority of children (130/140) did not develop new strabismus.
    • Significant horizontal alignment changes (>10 prism diopters) were infrequent (4/140).
    • Patients with craniofacial dysostosis (Crouzon syndrome) showed higher rates of preoperative strabismus (20/44) and required extraocular muscle surgery (12/44).

    Implications:

    • Early intervention for strabismus in craniofacial surgery patients may improve binocularity.
    • Anomalies in extraocular muscle number/structure are associated with craniofacial dysostosis.
    • Ophthalmologic assessment is vital for children undergoing craniofacial reconstruction.

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