McCarthy J G, La Trenta G S, Breitbart A S, Zide B M, Cutting C B
Institute of Reconstructive Plastic Surgery, New York University Medical Center, N.Y.
Plast Reconstr Surg. 1990 Aug;86(2):214-25; discussion 226-8.
This series reports on 20 patients who underwent orbital hypertelorism correction under 5.3 years of age (average age 3.9 years). The patients were followed an average of 5 years, and six patients were followed in excess of 7 years with clinical and cephalometric parameters. The study demonstrated that the procedure could be safely performed at this age and was aesthetically desirable. There was minimal clinical or cephalometric evidence of skeletal orbital relapse except in three patients, for whom individual explanations are given. During the period of postoperative study, nasomaxillary growth and development proceeded as expected, except in those patients with associated clefting. All patients demonstrated increased cranial width measurements preoperatively and postoperatively, but bigonial and bimastoid measurements were generally within normal range. Excessive resection of nasoglabellar skin at the time of hypertelorism correction appeared to adversely affect nasal development.
本系列报告了20例5.3岁以下（平均年龄3.9岁）接受眶距增宽症矫正手术的患者。患者平均随访5年，6例患者随访超过7年，记录了临床和头影测量参数。研究表明，该手术在这个年龄可以安全进行，且在美学上是可取的。除3例患者外，几乎没有临床或头影测量证据表明眼眶骨骼复发，并对这3例患者给出了个体解释。在术后研究期间，除伴有腭裂的患者外，鼻上颌的生长发育按预期进行。所有患者术前和术后颅骨宽度测量值均增加，但下颌角和双乳突测量值一般在正常范围内。眶距增宽症矫正时过度切除鼻根皮肤似乎对鼻腔发育有不利影响。
