Orbital change following Le Fort III advancement in syndromic craniosynostosis: Quantitative evaluation of orbital volume, infra-orbital rim and globe position

2012 ◽  
Vol 40 (3) ◽  
pp. 223-228 ◽  
Author(s):  
Erik Nout ◽  
Jine S. van Bezooijen ◽  
Maarten J. Koudstaal ◽  
Jifke F. Veenland ◽  
Wim C.J. Hop ◽  
...  
Keyword(s):  
Quantitative Evaluation ◽  
Le Fort ◽  
Orbital Volume ◽  
Syndromic Craniosynostosis ◽  
Le Fort Iii ◽  
Orbital Rim

Seesaw Modification of the Lateral Orbital Wall in Le Fort III Osteotomy

2004 ◽  
Vol 41 (6) ◽  
pp. 579-583 ◽  
Author(s):  
M. Emin Mavili ◽  
Gökhan Tunçbilek
Keyword(s):  
Long Term Effects ◽  
Traditional Treatment ◽  
Le Fort ◽  
Syndromic Craniosynostosis ◽  
Smooth Contour ◽  
Le Fort Iii ◽  
Orbital Wall ◽  
Conventional Methods ◽  
Orbital Rim

Objective The traditional treatment for patients with syndromic craniosynostosis and midfacial retrusion has consisted of Le Fort III osteotomy and advancement. Distraction with rigid external systems allows advancement of the midface segment much more than the conventional methods. This excessive advancement resulted in the superiormost margin of the advancement segment becoming prominent. It can be felt easily with palpation and may influence the appearance of the patient negatively. This article presents a procedure osteotomy designed to modify the osteotomy lines at the lateral orbital rims and smooth the step deformity at the lateral canthal region. Results The seesaw osteotomy produced a smooth contour at the lateral orbital rim. Planned advancement was achieved without difficulty and without adverse long-term effects.

Orbital Volume and Surface After Le Fort III Advancement in Syndromic Craniosynostosis

2012 ◽  
Vol 23 (3) ◽  
pp. 789-792 ◽  
Author(s):  
Felice Festa ◽  
Mario Pagnoni ◽  
Ramieri Valerio ◽  
Daria Rodolfino ◽  
Matteo Saccucci ◽  
...  
Keyword(s):  
Le Fort ◽  
Orbital Volume ◽  
Syndromic Craniosynostosis ◽  
Le Fort Iii

scholarly journals Le Fort III in Syndromic Craniosynostosis: Cost Comparison of Distraction Osteogenesis Versus Single-Stage Internal Fixation Techniques

2019 ◽  
Vol 27 (2) ◽  
pp. 125-129
Author(s):  
Adam J. Mosa ◽  
Elizabeth Zellner ◽  
Emily S. Ho ◽  
Mark D. Fisher ◽  
John H. Phillips ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Internal Fixation ◽  
Distraction Osteogenesis ◽  
Single Stage ◽  
Cost Data ◽  
Cost Comparison ◽  
Le Fort ◽  
Rigid Internal Fixation ◽  
Syndromic Craniosynostosis ◽  
Le Fort Iii

Purpose: In syndromic craniosynostosis, the Le Fort III osteotomy is used to correct dental/skeletal imbalance, improve exorbitism, and increase the airway. The purpose of this study is to perform a cost comparison between the standard technique of single-stage rigid internal fixation and distraction osteogenesis (DO) in the Le Fort III osteotomy in this patient population. Method: Hospital cost accounting databases were queried for patients undergoing single-stage advancement (SS) or DO from 2007 to 2016. Nominal cost data were adjusted using the Bank of Canada Consumer Price Index. Reported costs represented the full length of stay for all utilization per patient. Demographic information and cost data for single-stage osteotomy and DO were compared. Results: Total costs for single-stage (n = 8) were higher than distraction (n = 6; mean $CAD57 825 vs $38 268, P < .05). Intensive care unit (ICU) costs for single-stage were significantly higher than distraction (mean, $17 746 vs $5585, P < .005). Distraction cases had higher operating room (OR) costs than single stage, but the difference was not significant (mean, $12 540 vs $9696). Length of stay was significantly longer for SS patients (mean, 11 days vs 7 days, P < .05). Conclusions: This single-institution retrospective cost analysis indicates standard SS rigid internal fixation Le Fort III is more costly than DO. Despite higher OR costs, prolonged ICU and hospital stay was the primary reason behind this difference. This information may be of benefit when advocating for new technology perceived as high cost.

Monobloc Frontofacial or Le Fort III Distraction Osteogenesis in Syndromic Craniosynostosis

2017 ◽  
Vol 28 (5) ◽  
pp. 1344-1349 ◽  
Author(s):  
Ching-Hsuan Hu ◽  
Chieh-Tsai Wu ◽  
Ellen Wen-Ching Ko ◽  
Philip Kuo-Ting Chen
Keyword(s):  
Distraction Osteogenesis ◽  
Le Fort ◽  
Syndromic Craniosynostosis ◽  
Le Fort Iii

Monobloc and Le-Fort III distraction in syndromic craniosynostosis using a computer designed RED II halo type distractor

2015 ◽  
Vol 44 ◽  
pp. e64
Author(s):  
I. Garcia Recuero ◽  
A.I. Romance ◽  
A. Rivero ◽  
M. Redondo ◽  
P. Hinojosa ◽  
...  
Keyword(s):  
Le Fort ◽  
Syndromic Craniosynostosis ◽  
Le Fort Iii

Le Fort III Midfacial Distraction Using an Internal Distraction Device for Syndromic Craniosynostosis

2006 ◽  
Vol 17 (6) ◽  
pp. 1050-1058 ◽  
Author(s):  
Kaneshige Satoh ◽  
Nobuyuki Mitsukawa ◽  
Yasuyoshi Tosa ◽  
Kohichi Kadomatsu
Keyword(s):  
Le Fort ◽  
Syndromic Craniosynostosis ◽  
Distraction Device ◽  
Le Fort Iii ◽  
Internal Distraction

A 10-Year Study of Skeletal Stability and Growth of the Midface following Le Fort III Advancement in Syndromic Craniosynostosis

2010 ◽  
Vol 126 (3) ◽  
pp. 973-981 ◽  
Author(s):  
Pradip R. Shetye ◽  
Hitesh Kapadia ◽  
Barry H. Grayson ◽  
Joseph G. McCarthy
Keyword(s):  
Le Fort ◽  
Syndromic Craniosynostosis ◽  
Le Fort Iii ◽  
Skeletal Stability
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