title: Hypertelorism and micro-orbit simultaneous correction in a patient with paramedian bilateral facial clefts.
abstract: The aim of this paper is to report a case of a patient with paramedian bilateral facial clefts and hypertelorism associated with a severe encephalocele and micro-orbit. The patient required a facial bipartition to correct a transsphenoidal encephalocele, and a modified medialization surgery of the orbits to simultaneously expand the micro-orbit and correct the hypertelorism. These procedures achieved hypertelorbitism correction, orbital expansion which allowed symmetrical facial growth, and a functional orbit that permitted the use of an ocular prosthesis. We present this unique case to highlight the predictable results of a procedure that combines 2 surgical reproducible techniques of craniofacial surgery.
authors.affiliation: From the *Fundación Universitaria de Ciencias de la Salud, Hospital Infantil Universitario de San José, Fundación Santa Fé de Bogotá and FISULAB-Rehabilitation Center for Children with Cleft Lip and Palate, Bogotá; and †Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia.
authors.forename: José Rolando
authors.initials: JR
authors.lastname: Prada
authors.forename: María Bibiana
authors.initials: MB
authors.lastname: Mendoza
mesh_terms: D019465:Craniofacial Abnormalities / Q000601:surgery*; D004677:Encephalocele / Q000601:surgery; D005137:Eye, Artificial; D005260:Female; D005500:Follow-Up Studies; D005624:Frontal Bone / Q000002:abnormalities; D006801:Humans; D006972:Hypertelorism / Q000601:surgery*; D007231:Infant, Newborn; D008850:Microphthalmos / Q000601:surgery; D009666:Nose / Q000002:abnormalities / Q000601:surgery; D009915:Orbit / Q000002:abnormalities* / Q000601:surgery; D010027:Osteotomy / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D013100:Sphenoid Bone / Q000601:surgery