Ocular palsy following Le Fort 1 osteotomy: a case report.
A 33-year-old female patient developed an ipsilateral sixth nerve palsy and partial third nerve palsy following a Le Fort 1 osteotomy. Complete resolution occurred at 10 weeks. The likely mechanism of injury secondary to pterygo-maxillary dysjunction is highlighted, with description of the relevant anatomy. Previous cases of ocular motility complications following Le Fort 1 osteotomy are discussed. We recommend that significant care be taken in osteotome placement in the pterygo-maxillary fissure, particularly in those prone to unpredicted fractures such as older patients, or where the anatomy is congenitally abnormal or altered by previous surgery.
Newlands
C
C
Department of Oral and Maxillofacial Surgery, Eastbourne District General Hospital, Eastbourne, East Sussex, BN21 2UD, UK. cn@gascony.freeserve.co.uk
Dixon
A
A
Altman
K
K
D020222:Abducens Nerve Injury / Q000209:etiology*; D000328:Adult; D005260:Female; D006801:Humans; D009886:Ophthalmoplegia / Q000209:etiology*; D019340:Osteotomy, Le Fort / Q000009:adverse effects*