A new method for telecanthus correction in Waardenburg syndrome.

Waardenburg syndrome is characterized by lateral displacement of the medial canthi and lacrimal puncta, a broad nasal root, poliosis, heterochromia iridis, hyperplasia of the medial portion of the eyebrows, and congenital sensorineural deafness. As a group, these symptoms rarely occur in one individual, so care must be taken not to confuse an isolated condition with the syndrome. Of all the manifestations, the authors believe the lateral displacement of the medial canthi is the key factor in making a diagnosis. Sensorineural deafness is the most handicapping symptom. Surgical treatment is indicated for the correction of dystopia canthorum. We present a technique based on a double Z-plasty and nasal transfixion, plus attachment of the medial canthal tendons according to the techniques of Callahan and Mustardé.