Recurrence of Exophthalmos After Midface Advancement in Children

  • Shinichi Hirabayashi
  • Kiyonori Harii
  • Atsushi Sakurai
Conference paper


Since 1979 we have performed midf ace advancement in six patients with Crouzon’s disease. Follow-ups of more than 4 years have been possible in three patients who were operated on at the ages of 4, 4, and 22 years. A good improvement was obtained in all three cases in the early stages, but this did not continue. We present two patients aged 4 in whom exophthalmos again became pronounced in the second postoperative year.


Craniofacial Operation Lateral Cephalograms Crouzon Syndrome Midfacial Hypoplasia Skeletal Stability 
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  1. l.
    Ortiz-Monasterio F, Fuente-del-Campo A, Carrillo A (1978) Advancement of the orbits and the midface in one piece, combined with frontal repositioning, for the correction of Crouzon’s deformities. Plast Reconstr Surg 61:507PubMedCrossRefGoogle Scholar
  2. 2.
    Converse JM, Wood-Smith D, McCarthy JG (1975) Report on a series of 50 craniofacial operations. Plast Reconstr Surg 55: 283PubMedCrossRefGoogle Scholar
  3. 3.
    Kaban LB, West B, et al. (1984) Midface position after Le Fort III advancement. Plast Reconstr Surg 73: 758PubMedCrossRefGoogle Scholar
  4. 4.
    McCarthy GM, Grayson B, et al. (1984) Le Fort III advancement osteotomy in the growing child. Plast Reconstr Surg 74: 343PubMedCrossRefGoogle Scholar
  5. 5.
    Hogeman KE, Willmar K (1974) On Le Fort III osteotomy for Crouzon’s disease in children. Scand J Plast Reconstr Surg 8:169PubMedCrossRefGoogle Scholar
  6. 6.
    Kreiborg S (1981) Crouzon syndrome. Scand J Plast Reconstr Surg [Suppl] 18:145Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • Shinichi Hirabayashi
  • Kiyonori Harii
  • Atsushi Sakurai
    • 1
  1. 1.TokyoJapan

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