KMID : 0903220100110010033
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Journal of the Korean Cleft Palate-Craniofacial Association 2010 Volume.11 No. 1 p.33 ~ p.36
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Treatment of Posttraumatic Facial Deformity Patient with Brown¡¯¡¯s Syndrome: Case Report
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Park Byung-Chan
Kim Yong-Ha Kim Tae-Gon Lee Jun-Ho Kim Myung-Mi
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Abstract
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Purpose:Brown¡¯¡¯s syndrome is characterized by the limited elevation in adduction from mechanical causes around the superior oblique tendon trochlea complex. In this particular case, post-traumatic facial deformity accompanied by Brown¡¯¡¯s syndrome was observed. We would like to report the satisfying cosmetic results obtained by reconstructing orbital roof and superior orbital rim and repositioning of zygoma.
Methods:A 12-year-old patient was observed with facial deformity with strabismus in her right eye and orbital dystopia after the car accident and was eventually diagnosed with traumatic Brown¡¯¡¯s syndrome. Reconstructive surgeries could not be performed at the time of trauma due to the cerebral hemorrhage. At the second year after the trauma, a depressed fracture of the right orbital roof and superior orbital rim were reconstructed via the intracranial approach, and orbital dystopia was corrected via the zygoma triple ostectomy. In addition, a strabismus surgery was performed one year after her plastic surgery.
Results:Facial deformity with orbital dystopia and strabismus was confirmed to be fully reconstructed after the surgery. Moreover, when the patient came in for a follow-up thirteen years after the operation, a developmental imbalance of the facial bones, diplopia, or any other surgical complications were not to be found.
Conclusion:After the trauma, the patient with Brown¡¯¡¯s Syndrome accompanied by post-traumatic facial deformity, who went under the corrective surgeries after the meticulous examination and assessment pre-surgically, was able to acquire cosmetic satisfaction via those operations.
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KEYWORD
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Brown¡¯¡¯s syndrome, Facial deformity, Intracranial approach, Triple ostectomy
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