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Chapter
4: |
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Encephalocele
Monobloc Advancement
Orbital Reconstruction
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Infants born with faciocraniosynostosis may
have severe airway problems, increased intracranial pressure,
vision-threatening proptosis and a failure to thrive. Such
life-threatening problems may be treated with a one-stage procedure
known as a monobloc advancement. This single phase operation releases
the stenosis and advances the forehead and facial bones en bloc to a
more anterior position. This has the goal of establishing normal
function and appearance as early as possible. We feel this procedure has
increased risks of infection due to the likely communication between the
nasal and intracranial cavities and therefore use it cautiously for such
indications as airway compromise or vision-threatening proptosis.
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
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