Effectiveness of primary correction of traumatic telecanthus

To assess the aesthetic and functional results of primary treatment of telecanthus in patients with naso-orbito-ethmoidal fractures, the results in 36 patients were evaluated in a retrospective study. Twenty had double-sided telecanthus: 13 required an indirect technique of canthopexy and seven a di...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 1995-10, Vol.24 (5), p.344-347
Main Authors: Merkx, Matthias A.W., Freihofer, Hans Peter M., Borstlap, Wilfred A., Hoff, Martin A. van't
Format: Article
Language:English
Subjects:
Analysis of Variance
Biological and medical sciences
canthopexy
Cephalometry
Dentistry
epiphora
Esthetics
Ethmoid Bone - injuries
Eyelid Diseases - etiology
Eyelid Diseases - surgery
Eyelids - pathology
Eyelids - physiopathology
Eyelids - surgery
Follow-Up Studies
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Lacrimal Apparatus Diseases - etiology
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Nasal Bone - injuries
Orbital Fractures - complications
Postoperative Complications
Recurrence
Retrospective Studies
Skull Fractures - complications
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
telecanthus
traumatic canthal dystopia
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Summary:To assess the aesthetic and functional results of primary treatment of telecanthus in patients with naso-orbito-ethmoidal fractures, the results in 36 patients were evaluated in a retrospective study. Twenty had double-sided telecanthus: 13 required an indirect technique of canthopexy and seven a direct technique. Sixteen had unilateral telecanthus, of whom six were treated by the indirect and 10 by the direct technique. The intercanthal distance (ICD) was measured directly postoperatively and more than 12 months after reconstruction. The late ICD after application of the direct technique was nearly 3 mm smaller (ANOVA, P≤0.02, mean, 34.3 mm) and yielded 2 mm less relapse (ANOVA, P≤0.02) as compared with the indirect technique. Delayed or late-primary treatment showed a significantly higher frequency of epiphora (chi-square test, P≤0.05). Early primary treatment of traumatic telecanthus produced the best aesthetic and functional result.
ISSN:0901-5027
1399-0020
DOI:10.1016/S0901-5027(05)80488-6