Correction of ocular hypertelorism.
36 patients with congenital hypertelorism, eight with Crouzon's disease, and three with a posttraumatic deformity, were operated with Tessier's technique with some modifications, i.e. the dura is not separated from the cribriform plate avoiding olfactory damage. The entire procedure for hypertelorism could be carried out in less than 5 h but correction of Crouzon's disease required 6-8 h, and longer in older patients. There was only one intraoperative anesthesic death in a 3-year-old child. One cardiac arrest recovered. Nine staphylococcus infections were superficial and readily treated. There was postoperative cerebral edema in one case and convulsions following surgery in another. Anticonvulsants and steroids were subsequently routinely employed. There were no SF fistulas. Excellent cosmetic results are due primarily to the skill of the plastic surgeons.
D003394:Craniofacial Dysostosis / Q000601:surgery*; D005151:Facial Injuries / Q000601:surgery*; D006801:Humans; D006972:Hypertelorism / Q000601:surgery*; D011183:Postoperative Complications; D013518:Surgery, Plastic / Q000379:methods*