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Craniofacial and Maxillofacial Surgery in Children and Young Adults


Case Photographs

    A 5-year old girl was in a motor vehicle accident and sustained orbitionasal ethmoid and frontalbone fractures with associated brain and dural injury with CSF. She required a combined neurosurgical/craniofacial procedure. Left Photograph, Frontal view a face 6 days before surgery. Right Photograph, Frontal view of face 2 years after (single stage) reconstruction.

    A 15-year old girl presented with long-face syndrome characterized by vertical maxillary excess, mandibular retrognathism, and a retrusive chin. The patient underwent a combined orthodontic (two bicuspid extractions) and surgical approach including a Le Fort I osteotomy (vertical intrusion and horizontal advancement with counterclockwise rotation), bilateral sagittal split osteotomies of the mandible (horizontal advancement), and an osteoplastic genioplasty (horizontal advancement and vertical intrusion). Stabilization was accomplished with miniplates and screws. Left Photograph: Oblique facial view befor surgery. Right Photograph: Oblique facial view after reconstruction.

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