턱얼굴(구강악안면)외과 (Maxillofacial Surgery-Oral Surgery)
이곳의 내용은 의료행위를 대신할 수 없습니다. 본 사이트는 병원에 가기전에 관련 정보를 약간 얻으실수 있도록 하는데 개설취지가 있습니다. 홈페이지내의 자료는 좌측검색창에서 미리 검색해 보실 수 있습니다. Since 1997 Hallym University Hospital Anyang Korea
구강악안면외과란? 의료정보 AAOMS 의료정보 전문병원 정보 수술정보교환 전문의
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  Helping him face a brighter future  http://www.face.or.kr  
   관리자  2005-02-13 19:12:35, 조회 : 1,396

Helping him face a brighter future
BY JULIAN KESNER
DAILY NEWS WRITER
Sunday, February 13th, 2005

A courageous 8-year-old boy from El Salvador endured a grueling surgery Friday that he hopes will give him the normal face he has always wanted.
A team of surgeons spent more than four hours operating on Ricardo Guevara at the Children's Hospital at Montefiore in the Bronx. The complicated procedure was the most daring yet in the doctors' ongoing efforts to correct a rare birth deformity.

"As brutal as this operation is, it's even more brutal to just leave it alone," said Dr. David Staffenberg, the hospital's chief of pediatric plastic surgery.

Ricardo was born with a condition called Crouzon's syndrome, which causes his skull bones, normally separated during development, to fuse together.

Yesterday's surgery involved completely separating the boy's nose, cheekbones and upper jawbones from the skull, and then reattaching the two sections with adjustable bars called "distractors" on either side of his face.

During the next several weeks, Ricardo's midface gradually will be pushed forward by turning a "key" at the end of the bars, which are exposed behind the ears. New bone should grow in the resulting space between the midface and skull.

"Because it's gradual, we're fooling the body into thinking it hasn't healed yet," Staffenberg said. "Ricky is going to make his own bone to fill in the gap."

Ricardo was visibly nervous before Friday's operation, saying little as the nurses and doctors prepped him for surgery. His emotions finally spilled out as he was rolled into the operating room on a gurney, his mother, Maria Guevara, at his side.

"I want my daddy!" Ricardo cried in Spanish. His father is still in El Salvador after being unable to obtain a visa to be at his son's side.

Joining Staffenberg in the operating room were Dr. Rick Abbott, a pediatric neurosurgeon; Dr. Jairo Bastidas, an oral and maxillofacial surgeon, and pediatric anesthesiologist Dr. Carlene Broderick. The costs for the surgery were covered by the Save The Children Fund.

Doctors labored for the first two hours to expose Ricardo's midface and then cut it away from the skull. The team then screwed in the distractor bars parallel to the cheekbones, reconnecting the midface to the skull.

Once upstairs in the pediatric intensive care unit, his head wrapped in giant white cotton swath, Ricardo groggily returned to consciousness with his mother at his side.

"Thank you so much," said Maria Guevara to the doctors, kissing her son's forehead.

Ricardo will spend the weekend resting at the hospital. Beginning this week, the bars will be extended approximately 1 millimeter per day, until his midface is moved forward just over an inch - a process that should end early next month.

"I can hardly wait for about three weeks from now," Abbott beamed. "This will have a huge cosmetic impact. He's been through so much."

Ricardo still faces at least two more surgeries - one to correct his forehead and another on his teeth and lower jaw.

For Staffenberg, the look of gratitude on Maria Guevara's face was something he won't soon forget.

"It's incredible to have a parent hand their baby to you," said the doctor, whose wife is expecting their first child.

"It is such an honor - after all these years, it still gets me choked up."
   


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