title: An extremely rare complication following frontoorbital advancement: infarction of the recurrent artery of Heubner.
abstract: Many intracranial as well as extracranial complications can be seen following craniosynostosis surgeries. In this article, we would like to share an extremely rare complication of the infarction of the recurrent artery of Heubner, occurred following frontoorbital advancement. In this case, an 18-month-old male patient underwent supraorbital bar and frontal bone remodeling surgery for nonsyndromic metopic suture synostosis. The preoperative neurosurgical evaluation revealed no signs of increased intracranial pressure. On the 3rd postoperative day, the patient developed asymmetric smile and weakness on the left extremities. Computerized tomography showed a hypodense infarction region around the right basal ganglia and internal capsule, concordant with the region supplied by the recurrent artery of Heubner. The patient's symptoms started to regress on the 2nd day of enoxaparine treatment and he was discharged on 12th postoperative day with almost no signs of the event. In this paper, we presented an unlikely complication after frontoorbital advancement. Keeping in mind the long operating time and the proximity of the procedure to the central nervous system, assessment of the neurological function of the patients both before and after the operation and rapid intervention in case of development of neurologic symptoms are of great importance.
authors.affiliation: Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University, Ankara, Turkey. mertcalis@gmail.com.|Hacettepe Universitesi Hastaneleri, Plastik, Rekonstruktif ve Estetik Cerrahi A.D., 06100 Sihhiye, Ankara, Turkey. mertcalis@gmail.com.
authors.forename: Mert
authors.initials: M
authors.lastname: Calis
authors.affiliation: Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University, Ankara, Turkey.
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Oz
authors.affiliation: Faculty of Medicine, Department of Neurosurgery, Hacettepe University, Ankara, Turkey.
authors.forename: Ilkay
authors.initials: I
authors.lastname: Isikay
authors.affiliation: Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University, Ankara, Turkey.
authors.forename: Ersoy
authors.initials: E
authors.lastname: Konas
authors.affiliation: Faculty of Medicine, Department of Neurosurgery, Hacettepe University, Ankara, Turkey.
authors.forename: Burcak
authors.initials: B
authors.lastname: Bilginer
authors.affiliation: Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University, Ankara, Turkey.
authors.forename: Gokhan
authors.initials: G
authors.lastname: Tuncbilek
mesh_terms: D003398:Craniosynostoses / Q000601:surgery*; D003399:Craniotomy / Q000009:adverse effects*; D005624:Frontal Bone / Q000601:surgery; D006801:Humans; D007223:Infant; D020243:Infarction, Anterior Cerebral Artery / Q000209:etiology*; D008297:Male
keywords: Acute ischemic stroke; Frontoorbital advancement; Recurrent artery of Heubner