Isolated partial third nerve palsy following Le Fort I maxillary osteotomy in a patient with cleft lip and palate.
A rare case is reported of right sided isolated partial IIIrd (oculomotor) nerve palsy complicating a Le Fort I Wake osteotomy in a cleft patient. This lesion recovered spontaneously and completely by 8 weeks. Computed tomography failed to reveal a focal lesion to account for this complication, which was thought to be a neuropraxia caused either by transmitted force or accumulation of haematoma and/or oedema, perhaps related to abnormal anatomy inherent in cleft cases.
D000293:Adolescent; D002971:Cleft Lip / Q000601:surgery; D002972:Cleft Palate / Q000601:surgery; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D061220:Oculomotor Nerve Injuries; D009886:Ophthalmoplegia / Q000209:etiology*; D010027:Osteotomy / Q000009:adverse effects*