Revision Facial Bipartition Osteotomy
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Author: Aaron Smith
Published:
Specialties: Craniofacial and Pediatric Plastic Surgery, Plastic Surgery
Schools: Arkansas Children's Hospital, University of Arkansas for Medical Sciences
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Loading...Revision Facial Bipartition Osteotomy in 14y/o Female.
Contributors:
Aaron Smith, MD; Kumar Patel, PA; Ashley Bartels, BS; Rongsheng Cai, MD; Roop Gill, MD
Procedure
Revision Facial Bipartition Osteotomy and Cranioplasty
Indications
Congenital abnormalities resulting in hypertelorism, facial asymmetry, craniosynostosis, etc.
Contraindications
co-morbidities increasing surgical risk
Instrumentation
Setup
supine, shoulder roll with neutral head position, nasal intubation, general anesthesia, tube sutured to membranous portion of caudal septum. Formation of palatine splint and placement of lateral tarsorrhaphies.
Preoperative Workup
preoperative CT, photos, collected; precise cuts planned and post-operative appearance simulated; History & Physical Exam, CBC, Coagulation Profile, CMP, ASA Classification
Anatomy and Landmarks
Advantages/Disadvantages
Complications/Risks
Non-union of osteotomy gap, malposition of orbits, avulsion of optic nerve, operative risks (post-op infection, abscess, hemorrhage, risk associated with general anesthesia)
Disclosure of Conflicts
Acknowledgements
References
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