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Refinement of the Correction of Orbital Hypertelorism

Liu, Da-Lie MD*; Shan, Lei MD*; Yuan, Qiang MD; Huang, Jin-Jun MD*

Journal of Craniofacial Surgery: January 2011 - Volume 22 - Issue 1 - p 217-219
doi: 10.1097/SCS.0b013e3181f7604f
Clinical Studies

The objective of this article was to explore the effect of paraorbital soft-tissue expansion before orbital osteotomies and medial translocation by combined intracranial-extracranial approach. Tissue expansion was implanted in the zygomatic and temporal region 3 weeks before traditional operation in 2 cases of severe orbital hypertelorism. The measurements of interorbital and intercanthal distance were studied preoperatively and postoperatively by three-dimensional computed tomography. The interorbital distance of the 2 patients decreased from 4.4 and 3.2 cm to 2.0 and 1.4 cm, respectively. The intercanthal distance decreased from 6.7 and 4.8 cm to 5.0 and 3.8 cm, respectively. The paraorbital soft-tissue-expansion technique may be an effective technique for the stability of the corrected orbital framework and the prevention of reoccurrence in severe cases of orbital hypertelorism.

From the *Department of Plastic Surgery, Zhu-Jiang Hospital, Southern Medical University, Guangzhou; and †Department of Plastic Surgery, Beijing Hospital, Beijing, China.

Received April 20, 2010.

Accepted for publication June 19, 2010.

Address correspondence and reprint requests to Lei Shan, MD, 253, Gong-Ye Rd, Guangzhou City, Guangdong province, China 510282; E-mail:

The authors report no conflicts of interest.

© 2011 Mutaz B. Habal, MD