Ortiz-Monasterio F, Fuente-del-Campo A
Scand J Plast Reconstr Surg. 1981;15(3):277-86. doi: 10.3109/02844318109103447.
The soft tissue deformities associated with hyperteleorbitism often present serious reconstructive problems. Although skeletal correction is the basic preliminary step, the final result depends on the quality of the soft tissue and nasal repair. The patients are not interested in the postoperative intercanthal distance or the appearance of the X-ray film. What they want is a good aesthetic appearance and this is closely related to the shape and size of the nose. The short wide noses of the true hyperteleorbitism must be differentiated from the long noses associated with meningoencephalocele and pseudohypertelorism. For the first group, narrowing of the nose and the use of a forehead flap is indicated according to the severity of the problem. For the second group, shortening of the nose is accomplished by transverse resection of skin via a U shaped incision or skin replacement with a forehead flap. Downward sliding of forehead and brows may be necessary. The indication for each procedure is discussed and the different techniques are described.
与眼眶过宽相关的软组织畸形常常带来严重的重建问题。尽管骨骼矫正为基本的初步步骤，但最终结果取决于软组织和鼻部修复的质量。患者对术后的内眦间距或X光片外观并不感兴趣。他们想要的是良好的美学外观，而这与鼻子的形状和大小密切相关。真性眼眶过宽所导致的短而宽的鼻子必须与伴有脑膜膨出和假性眼眶增宽的长鼻子相区分。对于第一组情况，根据问题的严重程度，建议进行鼻子缩窄并使用额部皮瓣。对于第二组情况，通过U形切口横向切除皮肤或使用额部皮瓣进行皮肤置换来实现鼻子缩短。额部和眉毛可能需要向下滑动。讨论了每种手术的适应症并描述了不同的技术。
