Adie's pupil following le fort i maxillary osteotomy. A complication or coincidence?

Blindness after Le Fort I osteotomy: A possible complication associated with pterygomaxillary separation

“…Isolated cranial nerve palsies have been reported six times (cases 4, 6, 8, 10, 20, 23;Watts, 1984;Carr and Gilbert, 1986;Reiner and Willoughby, 1988;Sirikumara and Sugar, 1990;Girotto et al, 1998;Wilson et al, 2000). Case # 10 was described as Adie's pupil, but the association of mydriasis and lack of accommodation could be the expression of a selective third nerve palsy.…”

Unilateral Mydriasis After Maxillary Osteotomy: A Case Series and Review of the Literature

“…10,12,14,16,23 Of the existing reports of cranial nerve injury after orthognathic surgery, few include mydriasis. 5,[10][11][12]14,17,18,20 The lone case of isolated unilateral mydriasis was attributed to a tonic pupil. 5 Several cases involved aberrant fracture patterns with basilar skull involvement.…”

“…5,[10][11][12]14,17,18,20 The lone case of isolated unilateral mydriasis was attributed to a tonic pupil. 5 Several cases involved aberrant fracture patterns with basilar skull involvement. 10,17,18,20 One was the result of a CCF with a subarachnoid hemorrhage.…”

LeFort I Osteotomy

“…The LeFort I osteotomy has inherent risks and a variety of complications have been reported (►Table 1). [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] In a study of 1000 patients between 1983 and 2002, Kramer et al found that complications occurred in 6.4% of patients. 18 Patients with major anatomical irregularities, such as cleft lip and palate, were more likely to experience complications.…”