关键词: Box osteotomy Hypertelorism Late correction Orbital translocation

来  源:   DOI:10.25259/SNI_1029_2023   PDF(Pubmed)

Abstract:
UNASSIGNED: Orbital hypertelorism is a rare congenital condition caused by craniofacial malformations. It consists of complete orbital lateralization, characterized by an increase in distance (above the 95th percentile) of the inner canthal (ICD), outer canthal, and interpupillary distances. It can be approached surgically, and the main techniques are box osteotomy and facial bipartition. The surgical procedure is usually performed before the age of 8. We describe here two patients who underwent late surgical correction using the box osteotomy technique.
UNASSIGNED: Patient 1: A 13-year-old female presenting isolated hypertelorism with 5 cm ICD and left eye amblyopia. Patient 2: A 15-year-old female with orbital hypertelorism, 4.6 cm ICD, and nasal deformity. Both patients underwent orbital translocation surgery and had no neurological disorders.
UNASSIGNED: The article reports two cases of isolated hypertelorism treated late with the box osteotomy technique. Both surgeries were successful, with no postoperative complications. It appears that it is possible to obtain good surgical results even in patients who have not been able to undergo surgery previously.
摘要:
眼眶过度畸形是一种罕见的先天性疾病,由颅面畸形引起。它包括完全的轨道偏侧化,特征在于内甲(ICD)的距离增加(高于第95百分位数),外甲,和瞳孔间距离。它可以通过手术接近,主要技术是箱式截骨术和面部二分置。外科手术通常在8岁之前进行。我们在这里描述了两名使用盒式截骨技术进行晚期手术矫正的患者。
患者1:一名13岁女性,表现为5cmICD和左眼弱视的孤立性近视。患者2:一名15岁的女性,患有眼眶远距,4.6厘米ICD,还有鼻畸形.两名患者均接受了眼眶移位手术,没有神经系统疾病。
本文报道了2例采用箱式截骨技术治疗的孤立性近视晚期。两个手术都很成功,术后无并发症。看来,即使在以前无法接受手术的患者中,也有可能获得良好的手术效果。
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