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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Oriental surgical protocol in orbital hypertelorism
Xianxian Yang1, Xiongzheng Mu, Qing Gu
1Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, People's Republic of China.
The Journal of Craniofacial Surgery
|April 24, 2009
Summary
Surgical correction of orbital hypertelorism significantly improves cranio-orbital appearance and patient satisfaction. This study analyzes diagnosis, treatment, and outcomes over 30 years, noting low complication rates.
Area of Science:
- Craniofacial surgery
- Plastic surgery
- Ophthalmology
Background:
- Orbital hypertelorism presents significant aesthetic and functional challenges.
- Effective management requires a comprehensive understanding of diagnosis and surgical techniques.
Purpose of the Study:
- To summarize and analyze the diagnosis, treatment protocols, and therapeutic effects of orbital hypertelorism.
- To evaluate surgical outcomes and patient satisfaction over a 30-year period.
Main Methods:
- Retrospective review of 128 patients (1978-2008).
- Radiologic and anthropometric measurements (pre- and post-operation).
- Analysis of etiology, surgical methods, and complications.
Main Results:
- Craniofacial cleft was the primary cause.
- Significant improvements in interorbital distance, facial ratios, and nasofrontal angle observed (P < 0.01).
- 91.4% patient satisfaction with surgical correction; low complication rates (e.g., CSF leakage 6.3%).
Conclusions:
- Established protocols for orbital hypertelorism management yield significant aesthetic benefits.
- Surgical intervention effectively addresses cranio-orbital deformities, enhancing facial appearance.
