Internal carotid dissection after Le Fort III distraction in Apert syndrome: A case report

Erik Nout; Irene Mathijssen; Jacques Meulen; M.L.C. van Veelen - Vincent; Anton Koning; MH Lequin; Eppo Wolvius

doi:10.1016/j.jcms.2010.02.002

Internal carotid dissection after Le Fort III distraction in Apert syndrome: A case report

Erik Nout, Irene Mathijssen, Jacques Meulen, M.L.C. van Veelen - Vincent, Anton Koning, MH Lequin, Eppo Wolvius

Research output: Contribution to journal › Article › Academic › peer-review

17 Citations (Scopus)

Abstract

A 10-year-old girl with Apert syndrome underwent a Le Fort HI osteotomy with the positioning of internal and external distraction devices. The operation was straightforward with no intraoperative complications. Very soon after completion of surgery an anisocoria (unilateral dilation of a pupil) was noticed. This was followed by intracranial oedema which was fatal. The aetiology was dissection of the right internal carotid artery is reported. The complications of Le Fort osteotomies are discussed regarding patients with complex syndromal craniosynostosis and midface hypoplasia, such as Apert syndrome. (C) 2010 European Association for Cranio-Maxillo-Facial Surgery

Original language	Undefined/Unknown
Pages (from-to)	529-533
Number of pages	5
Journal	Journal of Cranio-Maxillofacial Surgery
Volume	38
Issue number	7
DOIs	https://doi.org/10.1016/j.jcms.2010.02.002
Publication status	Published - 2010

Research programs

EMC MGC-02-02-01
EMC NIHES-01-50-01-A
EMC OR-01-59-01

Access to Document

10.1016/j.jcms.2010.02.002

http://hdl.handle.net/1765/28278

Cite this

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title = "Internal carotid dissection after Le Fort III distraction in Apert syndrome: A case report",

abstract = "A 10-year-old girl with Apert syndrome underwent a Le Fort HI osteotomy with the positioning of internal and external distraction devices. The operation was straightforward with no intraoperative complications. Very soon after completion of surgery an anisocoria (unilateral dilation of a pupil) was noticed. This was followed by intracranial oedema which was fatal. The aetiology was dissection of the right internal carotid artery is reported. The complications of Le Fort osteotomies are discussed regarding patients with complex syndromal craniosynostosis and midface hypoplasia, such as Apert syndrome. (C) 2010 European Association for Cranio-Maxillo-Facial Surgery",

author = "Erik Nout and Irene Mathijssen and Jacques Meulen and {van Veelen - Vincent}, M.L.C. and Anton Koning and MH Lequin and Eppo Wolvius",

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T1 - Internal carotid dissection after Le Fort III distraction in Apert syndrome: A case report

AU - Nout, Erik

AU - Mathijssen, Irene

AU - Meulen, Jacques

AU - van Veelen - Vincent, M.L.C.

AU - Koning, Anton

AU - Lequin, MH

AU - Wolvius, Eppo

PY - 2010

Y1 - 2010

N2 - A 10-year-old girl with Apert syndrome underwent a Le Fort HI osteotomy with the positioning of internal and external distraction devices. The operation was straightforward with no intraoperative complications. Very soon after completion of surgery an anisocoria (unilateral dilation of a pupil) was noticed. This was followed by intracranial oedema which was fatal. The aetiology was dissection of the right internal carotid artery is reported. The complications of Le Fort osteotomies are discussed regarding patients with complex syndromal craniosynostosis and midface hypoplasia, such as Apert syndrome. (C) 2010 European Association for Cranio-Maxillo-Facial Surgery

AB - A 10-year-old girl with Apert syndrome underwent a Le Fort HI osteotomy with the positioning of internal and external distraction devices. The operation was straightforward with no intraoperative complications. Very soon after completion of surgery an anisocoria (unilateral dilation of a pupil) was noticed. This was followed by intracranial oedema which was fatal. The aetiology was dissection of the right internal carotid artery is reported. The complications of Le Fort osteotomies are discussed regarding patients with complex syndromal craniosynostosis and midface hypoplasia, such as Apert syndrome. (C) 2010 European Association for Cranio-Maxillo-Facial Surgery

U2 - 10.1016/j.jcms.2010.02.002

DO - 10.1016/j.jcms.2010.02.002

M3 - Article

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SN - 1010-5182

VL - 38

SP - 529

EP - 533

JO - Journal of Cranio-Maxillofacial Surgery

JF - Journal of Cranio-Maxillofacial Surgery

IS - 7

ER -