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Oblique transnasal wiring canthopexy via Y-V epicanthoplasty for telecanthus correction in a patient with Waardenburg syndrome

Archives of Craniofacial Surgery 2019년 20권 5호 p.329 ~ 331
 ( Choi Bong-Gyu ) - Yeungnam University College of Medicine Department of Plastic and Reconstructive Surgery

김용하 ( Kim Yong-Ha ) - Yeungnam University College of Medicine Department of Plastic and Reconstructive Surgery

Abstract


Telecanthus is a common symptom accompanied by Waardenburg syndrome, a rare genetic disorder. The optimal surgery for telecanthus correction is still debated. A 28-year-old patient with Waardenburg syndrome underwent transnasal wiring canthopexy using a Y-V epicanthoplasty for telecanthus correction. A Mini-Monoka stent was used to prevent damage to the lacrimal apparatus. The intercanthal distance decreased from 50 mm to 43.2 mm. The easily designed Y-V epicanthoplasty incision provides sufficient operative field for oblique transnasal wiring, which is effective in properly positioning the medial canthal tendon. It has minimal scarring resulting in satisfactory cosmetic outcomes.

키워드

Congenital abnormalities; Craniofacial abnormalities; Waardenburg syndrome
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