Related Experiment Videos
Hypertelorism correction in the young child.
J G McCarthy1, G S La Trenta, A S Breitbart
1Institute of Reconstructive Plastic Surgery, New York University Medical Center, N.Y.
Plastic and Reconstructive Surgery
|August 1, 1990
Summary
Orbital hypertelorism correction in young children is safe and aesthetically pleasing, with minimal relapse. Nasomaxillary growth is generally unaffected, though excessive skin resection can impact nasal development.
Area of Science:
- Craniofacial Surgery
- Pediatric Plastic Surgery
- Ophthalmology
Background:
- Orbital hypertelorism presents significant aesthetic and functional challenges.
- Early surgical intervention is often considered for optimal outcomes.
Purpose of the Study:
- To evaluate the safety and efficacy of orbital hypertelorism correction in young children.
- To assess long-term skeletal stability and impact on facial growth.
Main Methods:
- Retrospective case series of 20 pediatric patients (average age 3.9 years).
- Clinical and cephalometric analysis with an average follow-up of 5 years.
- Evaluation of nasomaxillary growth and cranial width measurements.
Main Results:
- The procedure was safe and aesthetically desirable in this young cohort.
- Minimal skeletal orbital relapse observed, with specific patient exceptions noted.
- Nasomaxillary growth proceeded normally, except in patients with clefting.
- Excessive nasoglabellar skin resection was linked to adverse nasal development.
Conclusions:
- Orbital hypertelorism correction can be safely performed in pre-school aged children.
- Long-term skeletal stability is generally good, but careful surgical technique is crucial.
- Monitoring for potential impacts on nasal development is recommended post-surgery.