Oblique transnasal wiring canthopexy via Y-V epicanthoplasty for telecanthus correction in a patient with Waardenburg syndrome

Abstract

Telecanthus is a common symptom accompanied by Waardenburg syndrome, a rare genetic disorder. The optimal surgery for telecanthus correction is still debated. A 28-year-old patient with Waardenburg syndrome underwent transnasal wiring canthopexy using a Y-V epicanthoplasty for telecanthus correction. A Mini-Monoka stent was used to prevent damage to the lacrimal apparatus. The intercanthal distance decreased from 50 mm to 43.2 mm. The easily designed Y-V epicanthoplasty incision provides sufficient operative field for oblique transnasal wiring, which is effective in properly positioning the medial canthal tendon. It has minimal scarring resulting in satisfactory cosmetic outcomes.

Anatomic Study of Endoscopic Transnasal Approach to Petrous Apex

“…Li discussed the effect of sphenoid cartilage tympanoplasty under nasal endoscope in the treatment of anterior quadrant tympanoplasty. Li's experiment shows that endoscopic butterfly inlay tympanoplasty is a reliable and minimally invasive alternative to repair anterior tympanic membrane perforation, with high closure rate and low complication rate [4][5].Huang reviewed the current literature to determine the use of thrive in patients with apnea undergoing shared airway surgery [6][7][8]. A 28 year old patient with inferior canthus underwent epicanthoplasty via Y-V epicanthoplasty.…”