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THE CRANIOFACIAL Center:
Advances in the Treatment of Facial Deformities...page 3
Larry A. Sargent, M.D.

figure 3.

Figure 3. (Left) A 12-year-old girl with severe midface hypoplasia and retrusion. (Right) Postoperative result after facial advancement with facial bipartition procedure (case 2).

figure 4.

Figure 4. The osteotomies and resections are illustrated in a frontofacial monobloc advancement with correction of hypertelorism (facial bipartition procedure). The frontofacial complex is stabilized with miniplates (case 2).

Case 3. This 15-year-old boy had severe orbital hypertelorism due to craniostenosis (Fig. 5). He had a broad flat nasal dorsum with an interorbital distance of 52 mm. Operative correction consisted of an intracranial and extracranial approach with four wall block osteotomies of the entire orbit and mobilization centrally (Fig. 6). The interorbital distance was decreased to 20 mm and the nasal bone reconstructed with calvarial bone grafts. Fig. 5 shows the postoperative appearance at one year.

figure 5.

Figure 5. (Left) A 15-year-old boy with severe orbital hypertelorism. (Right) Postoperative results one year after intracranial/extracranial correction of hypertelorism with forehead and skull remodeling (case 3).

figure 6.

Figure 6. Four wall block osteotomies illustrated. Central bony section removed and orbits mobilized medially (case 3).

Case 4. A 30-year-old man involved in a high speed motorcycle accident sustained severe facial trauma. He sustained extensive midline facial lacerations and severely comminuted panfacial fractures (Fig. 7)

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The Tennessee Craniofacial Center, part of the Erlanger Health System, is located in Chattanooga, Tennessee. The Center, led Larry A. Sargent, M.D., specializes in the evaluation and treatment of patients of all ages with craniofacial deformities. Location: 975 East Third Street. Chattanooga, Tennessee 37403
Phone: 423-778-9192 or 800-418-3223 Fax: 423-778-8172
Internet: www.craniofacialcenter.com Copyright ©1997, 2000, Erlanger Health Systems