2010-10-01
Internal carotid dissection after Le Fort III distraction in Apert syndrome: A case report
Publication
Publication
Journal of Cranio-Maxillofacial Surgery , Volume 38 - Issue 7 p. 529- 533
A 10-year-old girl with Apert syndrome underwent a Le Fort III osteotomy with the positioning of internal and external distraction devices. The operation was straightforward with no intraoperative complications. Very soon after completion of surgery an anisocoria (unilateral dilation of a pupil) was noticed. This was followed by intracranial oedema which was fatal. The aetiology was dissection of the right internal carotid artery is reported. The complications of Le Fort osteotomies are discussed regarding patients with complex syndromal craniosynostosis and midface hypoplasia, such as Apert syndrome.
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| doi.org/10.1016/j.jcms.2010.02.002, hdl.handle.net/1765/28278 | |
| Journal of Cranio-Maxillofacial Surgery | |
| Organisation | Erasmus MC: University Medical Center Rotterdam |
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Nout, E., Mathijssen, I., van der Meulen, J., van Veelen-Vincent, M.-L., Koning, A., Leguin, M., & Wolvius, E. (2010). Internal carotid dissection after Le Fort III distraction in Apert syndrome: A case report. Journal of Cranio-Maxillofacial Surgery, 38(7), 529–533. doi:10.1016/j.jcms.2010.02.002 |
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