Hypertelorism - WikipediaHypertelorism This article needs additional appointments for . Please help. Unsolicited material can be challenged and disposed of. Finding sources: – · · · (October 2009) ()necessitates additional citations for ···HypertelorismOther namesOcular histrorism, orbital hypertelorism, hypertelorbitism Hyperthelorism as seen in hyperthelorism is an abnormally greater distance between two organs or body parts, usually referring to a greater distance between orbits (orjos). In this condition the distance between the angles of the inner eye and the distance between the pupils is greater than normal. Hyperthelorism should not be confused with , in which the distance between the angles of the inner eye is increased but the distances between the angles of the outer eye and the pupils remain unalterable. HypertelorismHypertelorism is a symptom in a variety of syndromes, including (trisomy 18), , , and . Hypertelorism can also be seen in , , , , , , , , , and , along with piebaldism, prominent inner third of the eyebrows, irises of different color, spondyloepifiseal dysplasia, disorders of the metabolism mucopolysaccharide ( and ), sorderaz and also in hypothyroidism. Some links have been found between hypertelorism and attention deficit/hyperactivity disorders. ContentEmbryology[] Because hyperthelorism is an anatomical condition associated with a heterogeneous group of congenital disorders, it is believed that the underlying mechanism of hyperthelorism is also heterogeneous. The theories include too early ossification of the lower wings of the , an increased space between the orbit, due to the growing width of the , field defects during development, a nasal capsule that is not formed, leading to a failure in normal medial orbital migration and also a disturbance in the formation of the cranial base, which can be seen in syndromes such as Apert and Crouzon. Treatment[] Correct hyperthelorism is usually between five and eight years. This addresses psychosocial aspects in the early years of schooling of the child. Another reason for the correctional age of five years or more is that surgery should be delayed until tooth shoots have been reduced low enough in maxillary, thus avoiding damage to them. In addition, before the age of five, the craniofacial bones are thin and fragile, which can make surgical correction difficult. In addition, orbital surgery during childhood may inhibit median growth. For the treatment of hypertelorism there are two main operational options: The osteotomy of the box and the facial bipartition (also called median phostomy). Box of osteotomy[] This treatment of orbital hyperthelorism was performed by . Surgery begins with several osteotomies that separate the entire bone from the orbit of the skull and the surrounding facial bones. One of the osteotomies is to remove the bone between the orbits. The orbits are mobilized and approaching. Because this often creates excessive skin between the orbits it is common for a split of the skin to be needed on average online. This approaches the eyebrows and corners and provides a more pleasant look. Facial bipartition[]The standard procedure (or osteotomy of the box) was modified by Jacques van der Meulen and resulted in the development of facial bipartition (or median faciotomy). Facial bipartition first involves dividing the front bone of the supraorbital edge. Then the orbits and the median are released from the base of the skull using the monoblock osteotomy. Then a triangular piece of bone is removed from the middle line of the surface. The base of this triangular segment is on the orbit and the apex is among the upper incisive teeth. After the elimination of this segment it is possible to turn the two halves of the median to the other, which leads to the reduction of the distance between the orbits. It also results in the level of the V-shaped maxilla and therefore widen it. Because hyperthelorism is often associated with syndromes like Apert, hyperthelorism is often observed in combination with the median face. If this is the case, facial bipartition can be combined with distraction osteogenesis. The goal of the middle part is to normalize the relationship between the orbital edge to the eye and also normalize the position of , nose and maxilla in relation to the . Reconstruction of soft tissue[]To create an acceptable aesthetic result in the correction of orbital hyperthelorism, it is also important to take into account the reconstruction of soft tissue. In this context, the correction of nasal deformities is one of the most difficult procedures. Bonus and cartilage grafts may be necessary to create a nasal frame and local rotation with e.g. flaps of the forehead, or flaps of advance can be used to cover the nose. Complications of surgery[] As with almost all types of surgery, the main complications in both hypertelorism treatments include excessive bleeding, risk of infection and leakage and hard fistulas. Infections and leaks can be prevented by giving perioperative antibiotics and by identifying and closing any. The risk of significant bleeding can be prevented by meticulous technique and blood loss is compensated by transfusions. Blood loss can also be reduced by hypotensive anesthesia. There are very serious eye injuries, including blindness. Visual disturbances can occur due to the imbalance of the eye muscles after orbital mobilization. and may also occur postoperatively, but this usually self-correction. A quite difficult problem to correct postoperatively is the cantal drift, which can be best managed by carefully preserving the cantal attachments of tendon as much as possible. Despite the breadth of these procedures, mortality is rarely seen in the operational correctness of hyperthelorism. See also[]References[]ababcdef47 External links[]Classification-- Wikimedia Commons has media related to . ########################################################################################################################################################################################################################################################## Or both. reduction deficits / extremity multiple joints others : : / Or both. reduction deficits / extremity multiple joints / reduction deficits / extremity multiple joints others : : others : : Navigation menu Personal tools Named spaces Variants Views More Search Navigation Contributed Tools Printing/exporting Other projects Languages
Are my eyes too separate? (Photo) I don't think this is something that can be fixed but I really want to know why I'm too embarrassed to ask people around me. Answers (3)----------------------------------------------------------------Answers: Dry eyelids; Eyes Too Far The main problem is that your eyelid muscle is loose and makes you look drowsy, and your eyes don't open the whole way. Correction of this will be the primary way to improve your eye area. As for your original question about your eyes being too distant, this can be improved by lifting the bridge of your nose so that there is less empty space between your eyes. (However, you are not so far; typically, the distance between the two eyes should be a length of eye apart). Answer: Eyes Dryers; Eyes Too Far The main problem is that your eyelid muscle is loose and makes you look drowsy, and your eyes don't open all the way. Correction of this will be the primary way to improve your eye area. As for your original question about your eyes being too distant, this can be improved by lifting the bridge of your nose so that there is less empty space between your eyes. (However, you are not so far; typically, the distance between the two eyes should be a length of eye apart). Answer: You look wide between the two eyes. However, I believe that the heavy upper eyelid caused by the ptosis exaggerates the effect. Moving orbits is basically so hard that it's impossible. Fixing the ptosis is much more straight forward. You need an aesthetic surgery of ptosis. It is certainly possible that your surgery may be covered by health insurance, but you may decide to pay for yourself to get a more cosmetic result. The American Society of Ophthalmological and Reconstruction Plastic Surgery maintains a regional directory on its website that can help you find a highly qualified plastic eyelid surgeon. Answer: You look wide between the two eyes. However, I believe that the heavy upper eyelid caused by the ptosis exaggerates the effect. Moving orbits is basically so hard that it's impossible. Fixing the ptosis is much more straight forward. You need an aesthetic surgery of ptosis. It is certainly possible that your surgery may be covered by health insurance, but you may decide to pay for yourself to get a more cosmetic result. The American Society of Ophthalmological and Reconstruction Plastic Surgery maintains a regional directory on its website that can help you find a highly qualified plastic eyelid surgeon. Answer: Are My Eyes Too Separate? No, your eyes aren't too separate. From the 1 limited photograph, it seems that you may have ptosis present on both eyelids. This is best treated by an oculoplastic surgeon. There's nothing you can do to get your eyes closer in the eye basins. Answer: Are My Eyes Too Separate? No, your eyes aren't too separate. From the 1 limited photograph, it seems that you may have ptosis present on both eyelids. This is best treated by an oculoplastic surgeon. There's nothing you can do to get your eyes closer in the eye basins. Recommended Readings All You Need To Know About Carpath Surgery View More Doctors Near YouOur mission is to create a world where every investment in modern beauty is Worth It.ExploreShopAbout UsFor Doctors My profile
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