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Encephalocele
Orbital
Hypertelorism
Enophthalmos
Exophthalmos Facial
Bipartition Monobloc
Advancement
Introduction
Clefts of the Lip and Palate
Ear
Reconstruction
Craniosynostosis
Orbital Reconstruction
Treacher Collins Syndrome
Nasal Reconstruction
Orthognathic Surgery Trauma
Reconstruction
Hemifacial
Microsomia
Summary
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Congenital nasal encephaloceles are complex
problems that are best treated by the combined efforts of a neurosurgeon
and a plastic surgeon. An encephalocele is the herniation of the brain
through a congenital or traumatic opening in the cranium. Alterations
and distortions of the surrounding facial structures, such as
deformities of the naso-orbital skeleton due to an absence or separation
of bone in the midline of the face, are complications of encephaloceles
due to their position and size. Comprehensive treatment includes
resecting the encephalocele, repairing the fibrous covering of the
brain, repairing any bony defects, and reconstructing a more normal soft
tissue facial appearance. With recent advances in diagnostic and
surgical techniques, it is possible to perform a thorough preoperative
evaluation and to treat the lesion with definitive one-stage
reconstruction at the time of excision.
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The
nasofrontal encephalocele bone defect is shown with osteotomies
for mobilization of the medical orbital walls illustrated. The
orbital walls are centrally mobilized and then stabilized and the
remaining defects bone grafted. |
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Nasal
Encephalocele |
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one week old infant born with large nasal encephalocele |
Postoperative
result at eight months. |
Postoperative
result at five years after definitive one stage
reconstruction. |
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Seven
month old boy with large nasal encephalocele
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Intraoperative
excision of enchephalocele and bony reconstruction. |
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Postoperative
result after definitive
one stage reconstruction.
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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
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