Abstract

Relevance. Crouzon syndrome is a craniostenosis due to combination of cranial bones hypoplasia and premature ectocranial sutures fusion resulting in deformation of cerebral and facial cranium. Deformations of facial cranium are responsible for exophthalmos and corneoconjunctival xerosis and can lead to spontaneous eyeball dislocation. Clinical case description. The clinical case of bilateral eyeball dislocation in a patient (right eye at the age of 1 year 2 months, left — at 1 year 4 months) due to untimely original reconstructive surgery is presented. The blepharorrhaphy and osteotomy of cranio-orbital-zygomaxillary complex with installation of two distraction correction instruments on maxillary bone and two on frontal bone, distance osteogenesis, fronto-temporal region remodelling were performed at the age of 3 years 2 months. Conclusion. Crouzon syndrome is incurable illness that demands timely functional and cosmetic correction. Prognosis for this disease is unfavourable. These days the child is 8 years old: physical development delay and mental retardation progression as well as psychoneurological disorders are recorded.

Highlights

  • Crouzon syndrome is a craniostenosis due to combination of cranial bones hypoplasia and premature ectocranial sutures fusion resulting in deformation of cerebral and facial cranium

  • Deformations of facial cranium are responsible for exophthalmos and corneoconjunctival xerosis and can lead to spontaneous eyeball dislocation

  • The blepharorrhaphy and osteotomy of cranio-orbital-zygomaxillary complex with installation of two distraction correction instruments on maxillary bone and two on frontal bone, distance osteogenesis, fronto-temporal region remodelling were performed at the age of 3 years 2 months

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Summary

Редкие болезни

Ключевые слова: клинический случай, синдром Крузона, вывих глазного яблока, блефарорафия, остеотомия, дистракционный остеогенез. (Для цитирования: Зрячкин Н.И., Бучкова Т.Н., Чеботарёва Г.И., Кулешова Т.И. ОБОСНОВАНИЕ Генетические заболевания в последнее время становятся серьезной проблемой современного мира. Crouzon syndrome is incurable illness that demands timely functional and cosmetic correction (For citation: Zryachkin N.I., Buchkova T.N., Chebotareva G.I., Luleshova T.I. Crouzon Syndrome: Clinical case. ПЕДИАТРИЧЕСКАЯ ФАРМАКОЛОГИЯ /2019/ ТОМ 16/ No 1 стей, редкие кривые зубы, неполное смыкание зубов, Физическое развитие низкое, резко дисгармоничвысокое и узкое твердое нёбо, выступающий вперед ное: масса тела — 12 250 г, рост — 93 см, окружность подбородок, также имеет место расщелина твердого головы — 52 см, окружность груди — 52 см. Синдром Крузона — неизлечимое заболевание, ный порок сердца, вторичный дефект межпредсердной требующее функциональной и косметической коррек- перегородки (диаметр, d, 0,7 см).

Представляем клинический случай синдрома Крузона
Клинический диагноз
Медицинские вмешательства
Вывих правого
Информированное согласие мации и предотвратить дальнейшее прогрессирование
ИСТОЧНИК ФИНАНСИРОВАНИЯ для смещения участка черепа и исправления костных
FINANCING SOURCE фия позволяет избежать повторного вывиха глазного
СПИСОК ЛИТЕРАТУРЫ
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