title: New osteotomies for midface advancement in patients with Crouzon syndrome.
abstract: In some patients with Crouzon's syndrome the typical midface advancement can produce an excessive nasal protrusion which calls for subsequent rhinoplasty. Proposed modification of classical Le Fort III procedure consists in midface osteotomy and external distraction without median orbital walls and nasal component. Limited surgical approach through vestibular incision and split lower eyelids makes the operation quite easy and less extensive. So far, three adult patients were successfully treated according to described modality.
authors.affiliation: Hospital of Plastic Surgery in Polanica Zdrój and Department of Plastic Surgery Medical University in Wrocław, Wrocław, Poland. kierownik_klinika@scp.ng.pl
authors.forename: Kazimierz Ferdynand
authors.initials: KF
authors.lastname: Kobus
mesh_terms: D000293:Adolescent; D003394:Craniofacial Dysostosis / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D019340:Osteotomy, Le Fort / Q000379:methods*