Abstract
The term “ocular hypertelorism” was introduced by Greig in 1924 to describe an abnormally increased distance between the eyes. It originates from the Greek word telouros meaning distant. In 1972, Paul Tessier used the more accurate term “orbital hypertelorism” to denote lateralization of both the medial and lateral walls of the orbital complex [1–4]. Tessier is also credited with performing the first orbital mobilization surgery using an intracranial approach in 1963. The term hypertelorism is reserved for congenital malformations characterized by the widening the nasal root, opening of the ascending processes of the maxilla, and outer displacement of the orbits, the eyes, and the lateral canthi. The deformities that exhibit hypertelorism include midline and paramedian clefts, with or without nasal anomalies; craniosynostoses, particularly craniofrontonasal dysplasia; and hypertelorism associated with Apert syndrome, frontonasal encephaloceles, and midline dermoids [1]. Hypertelorism is a physical finding in many craniofacial anomalies and not a syndrome in itself. Hypertelorism should be differentiated from telecanthus, which is the increase in medial intercanthal distance without a relative displacement of the eyes or orbits in relation to facial midline. This may appear with fracture involving the naso-orbital-ethmoid complex that produces detachment of the medial canthal tendon.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Marchac D, Sati S, Renier D, Deschamps-Braly J, Marchac A. Hypertelorism correction: what happens with growth? Evaluation of a series of 95 surgical cases. Plast Reconstr Surg. 2012;129(3):713–27.
Panchal J, Kim YO, Stelnicki E, Pilgram T, Marsh JL. Quantitative assessment of osseous, ocular, and periocular changes after hypertelorism surgery. Plast Reconstr Surg. 1999;104(1):16–28.
Tan ST, Mulliken JB. Hypertelorism: nosologic analysis of 90 patients. Plast Reconstr Surg. 1997;99(2):317–27.
Yang X, Mu X, Gu Q, Yu Z, Ding M, Guo Z, Cao D, Yu D, Wei M, Chang T, Feng S. Oriental surgical protocol in orbital hypertelorism. J Craniofac Surg. 2009;20:718–23.
Cohen MM Jr, Richieri-Costa A, Guion-Almeida ML, Saavedra D. Hypertelorism: interorbital growth, measurements, and pathogenetic considerations. Int J Oral Maxillofac Surg. 1995;24(6):387–95.
Cohen MM Jr. Malformations of the craniofacial region: evolutionary, embryonic, genetic, and clinical perspectives. Am J Med Genet. 2002;115(4):245–68. Review
De Ponte FS, Fadda T, Rinna C, Brunelli A, Iannetti G. Early and late surgical treatment of orbital dystopia in craniofacial malformation. J Craniofac Surg. 1997;8(1):17–22.
Ritzvi M, Lypka A, Kovacev T, Agris J. Median facial cleft dysmorphism in three siblings: case report and review of literature. Cleft Palate Craniofac J. 2010;47(1):104–6.
Gil-da-Silva-Lopes VL, Maciel-Guerra AT. A clinical study of 31 individuals with midline facial defects with hypertelorism and guidelines for follow-up. Arq Neuropsiquiatr. 2007;65(2-B):396–401.
Ortiz Monasterio F, Medina O, Musolas A. Geometrical planning for the correction of orbital hypertelorism. Plast Reconstr Surg. 1990;86(4):650–7.
Yaremchuk MJ, Whitaker LA, Grossman R, Castiglione C. An objective assessment of treatment for orbital hypertelorism. Ann Plast Surg. 1993;30(1):27–34.
Hwang JM, Baek RM, Lee SW. Ocular findings in children with orbital hypertelorism. Plast Reconstr Surg. 2012;130(4):624e–7e.
Wan DC, Levi B, Kawamoto H, Tanna N, Tabit C, do Amaral CR, Bradley JP. Correction of hypertelorbitism: evaluation of relapse on long-term follow-up. J Craniofac Surg. 2012;23(1):113–7.
Okumoto T, Inoue Y, Yoshimura Y. A case of orbital hypertelorism with recovery of binocular vision after surgical treatment. J Plast Reconstr Aesthet Surg. 2012;65(7):e182–4.
Mulliken JB, Kaban LB, Evans CA, Strand RD, Murray JE. Facial skeletal changes following hypertelorbitism correction. Plast Reconstr Surg. 1986;77(1):7–16.
Posnick JC, Waitzman A, Armstrong D, Pron G. Monobloc and facial bipartition osteotomies: quantitative assessment of presenting deformity and surgical results based on computed tomography scans. J Oral Maxillofac Surg. 1995;53(4):358–67.
Richardson D, Thiruchelvam JK. Craniofacial surgery for orbital malformations. Eye. 2006;20(10):1224–7. Review
McCarthy JG, La Trenta GS, Breitbart AS, Zide BM, Cutting CB. Hypertelorism correction in the young child. Plast Reconstr Surg. 1990;86(2):214–25. discussion 226-8
Munro IR, Das SK. Improving results in orbital hypertelorism correction. Ann Plast Surg. 1979;2(6):499–507.
Moreira Gonzalez A, Elahi M, Barakat K, Yavuzer R, Brinkmann B, Jackson IT. Hypertelorism: the importance of three-dimensional imaging and trends in the surgical correction by facial bipartition. Plast Reconstr Surg. 2005;115(6):1537–46.
McCarthy J. Discussion: hypertelorism correction: what happens with growth? Evaluation of a series of 95 surgical cases. Plast Reconstr Surg. 2012;129(3):728–30.
Raposo-Amaral CE, Raposo-Amaral CM, Raposo-Amaral CA, Chahal H, Bradley JP, Jarrahy R. Age at surgery significantly impacts the amount of orbital relapse following hypertelorbitism correction: a 30-year longitudinal study. Plast Reconstr Surg. 2011;127(4):1620–30.
Songür E, Mutluer S, Keçeci Y, Alper M, Güner U, Totan S. Late results of hypertelorism correction. J Craniofac Surg. 1997;8(1):29–31.
Xie K, Yang S, Zhu YM. 3D visualization and simulation in surgical planning system of orbital hypertelorism. J Med Syst. 2011;35:617–23.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Science+Business Media, LLC, part of Springer Nature
About this chapter
Cite this chapter
Soldanska, M., Taub, P.J. (2019). Orbital Hypertelorism: Surgical Management. In: Greenberg, A., Schmelzeisen, R. (eds) Craniomaxillofacial Reconstructive and Corrective Bone Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1529-3_49
Download citation
DOI: https://doi.org/10.1007/978-1-4939-1529-3_49
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-1528-6
Online ISBN: 978-1-4939-1529-3
eBook Packages: MedicineMedicine (R0)