Long-term results on the quadrangular osteotomy
Identifieur interne : 00B272 ( Main/Exploration ); précédent : 00B271; suivant : 00B273Long-term results on the quadrangular osteotomy
Auteurs : J. J. A. Brouns [Pays-Bas] ; H. P. M. Freihofer [Pays-Bas]Source :
- International Journal of Oral & Maxillofacial Surgery [ 0901-5027 ] ; 1992.
English descriptors
- KwdEn :
- Angle class, Anterior part, Bclp, Bclp patient, Bone grafts, Brouns, Cleft, Directional changes, Final examination, Fracture, Freihofer, Horizontal relapse, Immediate postop, Infraorbital, Intermaxillary fixation, Ischaemic necrosis, Kufner osteotomy, Labrale superius, Lacrymal duct, Malar bone, Maxilla, Maxillofac, Maxillofac surg, Nasal, Oral maxillofac surg, Orbital, Orbital floor, Osteotomy, Postoperative, Premaxilla, Quadrangular, Quadrangular osteotomy, Relapse, Soft tissue, Surg, Surgical correction, Vertical relapse, maxillary osteotomy, midface, quadrangular osteotomy.
- Teeft :
- Angle class, Anterior part, Bclp, Bclp patient, Bone grafts, Brouns, Cleft, Directional changes, Final examination, Fracture, Freihofer, Horizontal relapse, Immediate postop, Infraorbital, Intermaxillary fixation, Ischaemic necrosis, Labrale superius, Lacrymal duct, Malar bone, Maxilla, Maxillofac, Maxillofac surg, Nasal, Oral maxillofac surg, Orbital, Orbital floor, Osteotomy, Postoperative, Premaxilla, Quadrangular, Quadrangular osteotomy, Relapse, Soft tissue, Surg, Surgical correction, Vertical relapse.
Abstract
Abstract: The results of a follow-up study of 17 patients who underwent a quadrangular osteotomy, are presented. The indication for a quadrangular osteotomy includes a hypoplastic maxilla with retruded infra-orbital rims and infraorbital area, but with normal nose projection. Almost all patients were satisfied with the result. Relapse in a horizontal direction appeared to be approximately 12%; however, considerable relapse was seen in the vertical direction (61.7%–158%). A major problem during operation appeared to be the high rate of fractures of the infra-orbital wing. Sensory loss in the area of the infra-orbital nerve ocurred in 79% of the operated sides. Four patients needed surgical correction of conditions that should be considered complications resulting from the osteotomy, including a case of partial ischaemic necrosis of the premaxilla in a BCLP patient.
Url:
DOI: 10.1016/S0901-5027(05)80217-6
Affiliations:
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Le document en format XML
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<term>Brouns</term>
<term>Cleft</term>
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<term>Freihofer</term>
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<term>Intermaxillary fixation</term>
<term>Ischaemic necrosis</term>
<term>Kufner osteotomy</term>
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<term>Lacrymal duct</term>
<term>Malar bone</term>
<term>Maxilla</term>
<term>Maxillofac</term>
<term>Maxillofac surg</term>
<term>Nasal</term>
<term>Oral maxillofac surg</term>
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<term>Orbital floor</term>
<term>Osteotomy</term>
<term>Postoperative</term>
<term>Premaxilla</term>
<term>Quadrangular</term>
<term>Quadrangular osteotomy</term>
<term>Relapse</term>
<term>Soft tissue</term>
<term>Surg</term>
<term>Surgical correction</term>
<term>Vertical relapse</term>
<term>maxillary osteotomy</term>
<term>midface</term>
<term>quadrangular osteotomy</term>
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<term>Directional changes</term>
<term>Final examination</term>
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<term>Horizontal relapse</term>
<term>Immediate postop</term>
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<term>Intermaxillary fixation</term>
<term>Ischaemic necrosis</term>
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<term>Lacrymal duct</term>
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<term>Maxilla</term>
<term>Maxillofac</term>
<term>Maxillofac surg</term>
<term>Nasal</term>
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<term>Postoperative</term>
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<term>Quadrangular osteotomy</term>
<term>Relapse</term>
<term>Soft tissue</term>
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<term>Surgical correction</term>
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<front><div type="abstract" xml:lang="en">Abstract: The results of a follow-up study of 17 patients who underwent a quadrangular osteotomy, are presented. The indication for a quadrangular osteotomy includes a hypoplastic maxilla with retruded infra-orbital rims and infraorbital area, but with normal nose projection. Almost all patients were satisfied with the result. Relapse in a horizontal direction appeared to be approximately 12%; however, considerable relapse was seen in the vertical direction (61.7%–158%). A major problem during operation appeared to be the high rate of fractures of the infra-orbital wing. Sensory loss in the area of the infra-orbital nerve ocurred in 79% of the operated sides. Four patients needed surgical correction of conditions that should be considered complications resulting from the osteotomy, including a case of partial ischaemic necrosis of the premaxilla in a BCLP patient.</div>
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