Hypertelorism

[Faaska]

definition of hypertelorism:
iod: inter orbital distance or the distance between orbits ranges from 24-32mm typically
icd: inter canthal distance or the distance between the eyes (flesh) ranges from 30-35mm'

iod is usually within 3-6mm of icd

Tessier classifications link
useful
mild hypertelorism (30-34mm iod)
moderate hypertelorism (35-39mm iod)
severe hypertelorism (40mm+ iod)

moderate and severe cases make the bulk of all cases of orbital box oestomy in this linked study however 13% are still classified as those with mild hypertelorism.

methods of solving hypertelorism:

Orbital box Osteotomy

• many different types including
• 4 wall box Osteotomy
  • 
  • more invasive
  • better control
  • less limited movement
• Spectacle Osteotomy
  • 
  • Less likely in adults
  • better fixation area
  • cannot be done in patients with frontal encephalocele
  • focus on moderate cases
  • more limited movement
  • performed without full box and is less invasive
• in the glabella
  • uses glabella as anchor for stability
  • can be considered less invasive depending on exact method
  • can affect nasal airways
  • not much info

source: link

180 degree orbital box Osteotomy:
The osteotomy involves cutting the orbital roof, floor, medial, and lateral walls. The orbital box is then repositioned and fixed with plates or screws.
Combined Orbital and Midface Box Osteotomy:
The orbital box and midface are mobilized as a single unit, allowing for simultaneous correction of orbital and midfacial deformities.
Medial Orbital Wall Graft:
The medial wall is exposed, and a graft (e.g., bone, cartilage, or synthetic material) is placed to correct defects or deformities.
Limited Medial Wall Osteotomy:
The medial wall is partially cut and repositioned
Gradual Orbital Mobilization with Distraction Osteogenesis:
Osteotomies are performed, and a distraction device is placed to slowly move the orbital segment into the desired position.
Combined bilateral medial orbital Osteotomy:
Both medial walls are osteotomized and repositioned medially to reduce interorbital distance.

transpalpebral Medial Orbital Osteotomy:
The osteotomy is performed via an upper or lower eyelid incision, reducing external scarring.
Endoscopic Medial Orbital Osteotomy:
the procedure is done with the aid of a small camera (endoscope) and minimally invasive tools.

medial canthoplasty:

• The surgeon make incisions inside the lower eyelid ( transconjunctival, through the mucous membrane), or on the skin, to access the inner canthus.
• The procedure may also involve any excess tissue or skin, the medial canthus, and sometimes altering the canthal tendon to a new position.

lateral canthioplasty:

• Lateral canthoplasty usually involves the lateral canthus (outer corner) by making an incision near the tendon, which is then anchored in a higher position.
• The procedure may involve removal of skin or tightening of the surrounding tissues.

Will finish thread later but lazy rn

 

[Faaska]

Tell me what I should fix aight

 

[Lefor3Laser]

Yeah it's a gokd thread but i don't want to sound like a retard, OBO is way to risky with low rewards, you'd better focus on other failos rather than fixing your IPD.

And i think it should only be done on severe cases.

 

[Faaska]

Yeah it's a gokd thread but i don't want to sound like a retard, OBO is way to risky with low rewards, you'd better focus on other failos rather than fixing your IPD.

And i think it should only be done on severe cases.

Nah so the focus of the thread was gonna be on non 360 obos and safer less invasive and less face fucking methods like 180 or medial or even js canthoplasty highly unfinished thread

 

[Lefor3Laser]

Nah so the focus of the thread was gonna be on non 360 obos and safer less invasive and less face fucking methods like 180 or medial or even js canthoplasty highly unfinished thread

Alright, looking forward to it tbh, i am interested, tag me in once you finish it.

 

[Faaska]

Alright, looking forward to it tbh, i am interested, tag me in once you finish it.

alright will do fingers crossed

 

[Curryfinder]

OBO through glabella is that not what Giant is doing?