Abducens nerve palsy following Le Fort 1 maxillary osteotomy

Q3 Dentistry

Oral and Maxillofacial Surgery Cases Pub Date : 2024-02-14 DOI:10.1016/j.omsc.2024.100347

Frederik Piccart , Jan Vanhove , Constantinus Politis

引用次数: 0

Abstract

This case report presents a rare but significant complication of abducens nerve palsy following Maxillary Le Fort I osteotomy. The patient, who underwent the procedure for trans palatal distraction indication, experienced left-sided abducens nerve palsy, characterized by the inability to abduct the ipsilateral eye. Undesired fracture patterns can extend to neighbouring structures. The report discusses the management strategies employed and the outcome of this specific complication. By sharing this case, it aims to increase awareness of the potential risks associated with Maxillary Le Fort I osteotomy and provide insights for optimizing surgical outcomes and improving patient safety.

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Le Fort 1 上颌骨截骨术后出现视神经麻痹

本病例报告介绍了上颌乐堡 I 型截骨术后出现的一种罕见但严重的外展神经麻痹并发症。该患者是因经腭牵引适应症而接受手术的，术后出现左侧外展神经麻痹，表现为同侧眼球无法外展。意想不到的骨折模式可能会延伸到邻近的结构。本报告讨论了这一特殊并发症的处理策略和结果。通过分享这一病例，旨在提高人们对上颌乐堡I型截骨术潜在风险的认识，并为优化手术效果和提高患者安全提供见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral and Maxillofacial Surgery Cases Medicine-Otorhinolaryngology

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

69 days

期刊介绍： Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.