title: Deep Venous Thrombosis in Teen With Crouzon Syndrome Post-Le Fort III Osteotomy With Rigid External Distraction.
abstract: Venous thromboembolic events are rare in pediatric patients. Risk factors associated with the development of venous thromboembolic events in pediatric patients include the use of central venous catheters, hospitalization, cancer, sepsis, trauma, surgery, and congenital prothrombotic disorders.The authors present the case of a 14-year-old man with Crouzon syndrome who required Le Fort III osteotomy with rigid external distraction for significant midface hypoplasia who presented postoperatively with an extensive deep venous thrombosis. This is the first reported case of symptomatic venous thrombosis post-Le Fort III osteotomy and rigid external distraction. Although rare, surgeons should be aware of this potential complication.
authors.affiliation: *Division of Plastic and Reconstructive Surgery, University of Rochester Medical Center †Division of Pediatric Plastic and Craniofacial Surgery, Helen Devos Children's Hospital, Grand Rapids, MI.
authors.forename: Lauren O
authors.initials: LO
authors.lastname: Roussel
authors.forename: Rene P
authors.initials: RP
authors.lastname: Myers
authors.forename: John A
authors.initials: JA
authors.lastname: Girotto
mesh_terms: D000293:Adolescent; D003394:Craniofacial Dysostosis / Q000601:surgery*; D016267:External Fixators; D005147:Facial Bones / Q000601:surgery; D005268:Femoral Vein / Q000000981:diagnostic imaging; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D008297:Male; D019857:Osteogenesis, Distraction / Q000295:instrumentation*; D019340:Osteotomy, Le Fort / Q000295:instrumentation / Q000379:methods*; D011152:Popliteal Vein / Q000000981:diagnostic imaging; D011183:Postoperative Complications; D012501:Saphenous Vein / Q000000981:diagnostic imaging; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*