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Surgical correction of grade III hypertelorism

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Haq Ehtesham Ul, Qayyum Muhammad Umar, Ilahi Muhammad Irfan, Janjua Saadat Ali, Aslam Ayesha, Zahra Rubbab,
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 ( Haq Ehtesham Ul ) - Combined Military Hospital Army Burn Centre
 ( Qayyum Muhammad Umar ) - Combined Military Hospital 112 Military Dental Centre
 ( Ilahi Muhammad Irfan ) - PNS Shifa
 ( Janjua Saadat Ali ) - Combined Military Hospital Army Burn Centre
 ( Aslam Ayesha ) - Fauji Foundation Hospital Department of Surgery
 ( Zahra Rubbab ) - Private practice

Abstract


Orbital hypertelorism is an increased distance between the bony orbits and can be caused by frontonasal malformations, craniofacial clefts, frontoethmoidal encephaloceles, glial tumors or dermoid cysts of the root of the nose, and various syndromic or chromosomal disorders. We report a series of 7 cases of hypertelorism that were treated in our hospital. The underlying causes in our series were craniofacial clefts 0 to 14 (4 cases), craniofacial clefts 1 to 12 (1 case), and frontonasal encephalocele (2 cases), all congenital. Surgical techniques used to correct the deformity were box osteotomy and medial wall osteotomy with or without calvarial and rib grafts. A few of our cases were reoperations with specific challenges.

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Orbital hypertelorism; Box osteotomy; U-shaped osteotomy; Encephalocele

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