State-of-the-Art Hypertelorism Management

Clin Plast Surg. 2019 Apr;46(2):185-195. doi: 10.1016/j.cps.2018.11.004. Epub 2019 Jan 9.

Abstract

Orbital hypertelorism represents lateralization of the orbits, meaning increased interorbital and outer orbital distances. Interorbital hypertelorism represents a failure of medial orbital wall medialization in the setting of normally positioned lateral orbital walls. The etiology and type of hypertelorism influence selection of an operative procedure, whereas the severity of deformity dictates surgical need. Choice of surgical procedure is dictated by anatomic considerations, such as degree of orbital hypertelorism, midfacial proportions, and occlusal status.

Keywords: Box osteotomy; Chula technique; Facial bipartition; Interorbital hypertelorism; MOCUT; Orbital hypertelorism.

Publication types

  • Historical Article
  • Review

MeSH terms

  • Face / surgery
  • Female
  • History, 20th Century
  • Humans
  • Hypertelorism / classification
  • Hypertelorism / embryology
  • Hypertelorism / history
  • Hypertelorism / surgery*
  • Male
  • Osteotomy / methods*
  • Plastic Surgery Procedures / adverse effects
  • Plastic Surgery Procedures / methods*