J. Herold et M. Falworth, SUB TOTAL UNILATERAL OCULOMOTOR NERVE PALSY IN A LEFORT-I OSTEOTOMY, British journal of oral & maxillofacial surgery, 34(1), 1996, pp. 104-106
A 35-year-old man developed a pupil sparing palsy of the oculomotor ne
rve after a standard Le Fort I osteotomy during which there had been m
ore bleeding than usual. No definite cause was found but we suggest th
at it was caused by ischaemia of the nerve secondary to local injury b
y haematoma or instrumentation. The anatomical basis for this is discu
ssed.