Isolated hypertelorism: Late surgical correction using the box osteotomy technique.

Autor:	de Sousa BC; Neurosurgery, Department of Surgical Specialties, Pedro Ernesto University Hospital, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Ferreira-Pinto PHC; Neurosurgery, Department of Surgical Specialties, Pedro Ernesto University Hospital, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Ferreira DBCO; Neurosurgery, Department of Surgical Specialties, Pedro Ernesto University Hospital, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Bastos EP; Treatment of Craniofacial Anomalies Center, Pedro Ernesto University Hospital, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Junior MLLA; Treatment of Craniofacial Anomalies Center, Pedro Ernesto University Hospital, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Dias BSB; Treatment of Craniofacial Anomalies Center, Pedro Ernesto University Hospital, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Schneider T; Treatment of Craniofacial Anomalies Center, Pedro Ernesto University Hospital, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Claro V; Treatment of Craniofacial Anomalies Center, Pedro Ernesto University Hospital, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Cintra HPL; Treatment of Craniofacial Anomalies Center, Pedro Ernesto University Hospital, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Parise M; Neurosurgery, Department of Surgical Specialties, Pedro Ernesto University Hospital, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Correa EM; Neurosurgery, Department of Surgical Specialties, Pedro Ernesto University Hospital, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Cruz TZ; Neurosurgery, Department of Surgical Specialties, Pedro Ernesto University Hospital, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., da Silva WN; Neurosurgery, Department of Surgical Specialties, Pedro Ernesto University Hospital, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil., Nigri F; Neurosurgery, Department of Surgical Specialties, Pedro Ernesto University Hospital, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
Jazyk:	angličtina
Zdroj:	Surgical neurology international [Surg Neurol Int] 2024 Apr 26; Vol. 15, pp. 145. Date of Electronic Publication: 2024 Apr 26 (Print Publication: 2024).
DOI:	10.25259/SNI_1029_2023
Abstrakt:	Background: 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 95 th 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. Case Description: 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. Conclusion: 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. Competing Interests: There are no conflicts of interest. (Copyright: © 2024 Surgical Neurology International.)
Databáze:	MEDLINE
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