Surgery Related to the Correction of Hypertelorism

Meulen, J. C. H. van der; Vaandrager, J. Michiel

doi:10.1097/00006534-198301000-00003

Cited by 44 publications

(12 citation statements)

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“…In the literature, after Tessier 3-6 described the surgical principles of the intra and extracranial approach for the correction of hyperteleorbitism, many adaptations and technical innovations have been published, especially those described by Van der Muelen 24,25 , who modified the box osteomy and created the facial bipartition. The latter comprises the medial rotation of the two hemifaces by means of the intracranial access, associated with successive osteotomies at the pterygomaxillary junction and palatine plates, simultaneously correcting the orbits and the inverted "V" occlusion reported in patients with hyperteleorbitism.…”

Section: Discussionmentioning

confidence: 99%

Abordagem cirúrgica do hiperteleorbitismo na displasia craniofrontonasal

Denadai

Roberto

Buzzo

et al. 2017

Rev. Col. Bras. Cir.

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RESUMO Objetivo: apresentar nossa experiência no tratamento cirúrgico do hiperteleorbitismo na displasia craniofrontonasal. Métodos: análise retrospectiva dos pacientes com displasia craniofrontonasal operados por orbital box osteotomy ou por bipartição facial entre os anos de 1997 e 2015. Informações sobre as intervenções cirúrgicas foram obtidas dos prontuários médicos, exames complementares, fotografias e entrevistas clínicas. Os resultados cirúrgicos foram classificados com base na necessidade de cirurgia adicional, e a recidiva orbital foi calculada. Resultados: sete pacientes do sexo feminino foram incluídas, três submetidas à orbital box osteotomy (42,86%) e quatro (57,14%) à bipartição facial. Houve uma recidiva orbital média de 3,71±3,73mm. A média global dos resultados cirúrgicos de acordo com a necessidade de novas cirurgias foi de 2,43±0,53. Conclusão: a abordagem cirúrgica do hiperteleorbitismo na displasia craniofrontonasal deve ser individualizada, respeitando, sempre que possível, a idade e as preferências dos pacientes, seus familiares e cirurgiões.

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Section: Discussionmentioning

confidence: 99%

Abordagem cirúrgica do hiperteleorbitismo na displasia craniofrontonasal

Denadai

Roberto

Buzzo

et al. 2017

Rev. Col. Bras. Cir.

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“…The surgical management of complex craniofacial malformations has evolved, 20 with monobloc 21 and facial bipartition osteotomy 19 representing perhaps the most sophisticated reconstructive approaches to correct the upper and midface deformities observed in median facial cleft syndromes. 22 As this kind of surgical treatment involves many medical specialties, a centralization of patients and treatment should be considered to improve the effectiveness.…”

Section: Discussionmentioning

confidence: 99%

“…This is called interorbital hypertelorism. 19 The cele may cause nasal visual field defects and nasal airway obstruction leading to obligatory oral respiration. Ocular movements may be disturbed.…”

mentioning

confidence: 99%

Median Facial Cleft with a Frontoethmoidal Encephalocele Treated with Craniofacial Bipartition and Free Radial Forearm Flap: A Case Report

König¹,

Due-Tønnessen²,

Osnes³

et al. 2009

Skull Base

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We describe a patient with a median facial cleft with a frontoethmoidal encephalocele, hypertelorism, hydrocephalus, and cerebrospinal fluid (CSF) leakage referred to our department due to numerous complications after previous surgical treatments. An 8-yearold girl, born with median cleft syndrome, underwent neurosurgical repair of the encephalocele at another hospital and cleft lip/palate repair later in the same year. Her hydrocephalus was treated with a ventriculoperitoneal shunt, but she underwent numerous shunt revisions due to recurrent intracerebral infections. In 2008, she was rehospitalized due to a gramnegative meningitis and cerebral abscess. She underwent surgery where part of her frontal bone was removed due to osteomyelitis. She was referred to our department due to persistent CSF leakage, recurrent infections, and significant dura defect. In addition, she had hypertelorism and a strongly reduced vision. We performed a monobloc and facial bipartition osteotomy where 15 mm of her frontal and nasal bone was removed after facial bipartiton. The dura defect was closed using a free fasciocutanous flap. The patient had no CSF leakage or infections postoperatively, and her hypertelorism was reduced. The case represents the first monobloc and facial bipartition osteotomy performed in Norway as a part of the treatment of median cleft syndrome with a nasoethmoidal encephalocele.

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“…Interventions require consideration of the relation between treatment and growth in the affected region [105][106][107][108][109]. Timing and type of surgical intervention depend on three factors: growth potential inherent in the type of malformation, morphologic repercussions determined by the severity of the malformation combined with the surgical intervention, and effectiveness of extrinsic forces (e.g., dentofacial orthopedics) or intrinsic surgical stimuli (e.g., muscle transfer procedures) [105][106][107][108][109]. In most cases, intervention is staged, with one or more procedures performed in infancy and future procedures delayed until final craniofacial growth has been completed.…”

Section: Management Of Craniofacial Deformitiesmentioning

confidence: 99%

“…In most cases, intervention is staged, with one or more procedures performed in infancy and future procedures delayed until final craniofacial growth has been completed. The early procedures are performed to allow growth and function to be uninterrupted in major organ systems (brain, eyes, and nasopharynx) [105][106][107][108][109]. Early ophthalmic consultation in infancy is suggested for all cases, particularly when the eyes and/or orbits are obviously involved or there is concern about elevated intracranial pressure.…”

Section: Management Of Craniofacial Deformitiesmentioning

confidence: 99%