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The hourglass facial deformity.

¹Division of Plastic Surgery, Mount Sinai Medical Center, Cleveland, Ohio.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery

|July 1, 1990

Summary

The Hourglass Facial Deformity, caused by infant irradiation, results in upper facial disfigurement. Surgical correction using acrylic implants offers a successful treatment for this condition.

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Area of Science:

Craniofacial surgery
Pediatric plastic surgery
Ophthalmology

Background:

Infant irradiation of the orbits and anterior cranial base can lead to the Hourglass Facial Deformity.
This condition presents with characteristic upper facial abnormalities, including temporal depression and hypotelorism.

Observation:

The Hourglass Facial Deformity involves a misshapen upper face, temporal region depression, hypotelorism, flattened nasal root, and varying frontal bossing.
Patients often have a history of enucleation (eye removal).

Findings:

A surgical technique involving bicoronal incision allows dissection of orbital soft tissue.
Correction is achieved through the implantation of acrylic alloplastic material.
Four cases demonstrated successful correction with no major complications, though two needed eye socket revisions.

Implications:

This surgical approach effectively corrects the Hourglass Facial Deformity.
Acrylic alloplastic implants provide a viable solution for craniofacial reconstruction in affected children.
Further research may refine orbital socket management post-enucleation and irradiation.

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