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Treatment of Orbital Hypertelorism Using Inverted U-Shaped Osteotomy

Shen, Weimin MD*†; Cui, Jie MD*; Chen, Jianbin MD*; Ying, Zhang Xiao MD

The Journal of Craniofacial Surgery: March 2015 - Volume 26 - Issue 2 - p 415–417
doi: 10.1097/SCS.0000000000001518
Original Articles

The objective of this article was to explore the effect of correction orbital hypertelorism using inverted U-shaped osteotomy by combined intracranial-extracranial approach. Eleven cases of severe orbital hypertelorism were performed. The measurement of interorbital and intercanthal distance was studied preoperatively and postoperatively by 3-dimensional computed tomography. The interorbital distance of the 11 patients are significantly decreased .The intercanthal distance decreased from 6.7 and 4.8 cm to 5.0 and 3.8 cm, respectively. The inverted U-shaped osteotomy technique may be an effective and safe technique for the stability of the corrected orbital framework and the prevention of recurrence in severe cases of orbital hypertelorism. Moreover, this method has little trauma compared with box osteotomy technique.

From the Department of Plastic Surgery, Nanjing Children’s Hospital, affiliated with Nanjing Medical University, Nanjing; and †The Third Affiliated Hospital of Soochow University, Changzhou, China.

Received October 19, 2014.

Accepted for publication December 23, 2014.

Address correspondence and reprint requests to Zhang Xiao Ying, MD, The Third Affiliated Hospital of Soochow University, Changzhou 213003, China; E-mail:

The authors report no conflicts of interest.

© 2015 by Mutaz B. Habal, MD.