One-Stage Repair of Blepharophimosis

Karacaoğlan, Naci; Ulu, Şahin; Ercan, Uğur; Bozdoğan, Nebil

doi:10.1097/00006534-199406000-00011

Cited by 18 publications

(6 citation statements)

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“…2a– the most widely used technique), Anderson (five flap technique) 16,17 Blair 27 and Johnson’s modification 14 of Blair’s technique. One stage procedures (simultaneous repair of epicanthic folds, telecanthus and ptosis) have been advocated by Nakajima 28 and Karacaoğlan 29 . Karacaoğlan 29 also suggested correction of the flattened nasal bridge at the same time using a bone graft.…”

Section: Discussionmentioning

confidence: 99%

“…One stage procedures (simultaneous repair of epicanthic folds, telecanthus and ptosis) have been advocated by Nakajima 28 and Karacaoğlan 29 . Karacaoğlan 29 also suggested correction of the flattened nasal bridge at the same time using a bone graft. This pulled the nasal skin outwards and reduced the amount of epicanthic fold corrective surgery required.…”

Section: Discussionmentioning

confidence: 99%

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Blepharophimosis–ptosis–epicanthus inversus syndrome: objective analysis of surgical outcome in patients from a single unit

Taylor

Strike

Tyers

2007

Clinical Exper Ophthalmology

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Blepharophimosis–ptosis–epicanthus inversus syndrome: objective analysis of surgical outcome in patients from a single unit

Taylor

Strike

Tyers

2007

Clinical Exper Ophthalmology

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“…This two-stage reconstructive procedure was used to correct the BPES to avoid multistage procedure for correction. In a study of Keracaoglan et al [ 13 ] had reported one-stage repair of BPS by medial canthoplasty, facial suspension, and widening of the bridge of the nose using the bone graft taken from the iliac crest. However, they had not addressed the combined correction of telecanthus and palpebral phimosis.…”

Section: Discussionmentioning

confidence: 99%

Surgical outcome of epicanthus and telecanthus correction by C-U medial canthoplasty with lateral canthoplasty in treatment of Blepharophimosis syndrome

et al. 2022

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Purpose To evaluate the surgical outcome of epicanthus and telecanthus correction by C-U medial canthoplasty with lateral canthoplasty in Blepharophimosis Syndrome. Patients and methods This was a retrospective single arm interventional study including 18 eyes of 9 patients with Blepharophimosis-ptosis-epicanthus inversus syndrome who presented to oculoplastic clinic, ophthalmology department, Qena university hospital in the period of between July 2020 to April 2021. All the patients had BPES with epicanthus and telecanthus. All cases were subjected to by C plasty with medial and lateral canthoplasty for correction of epicanthus and telecanthus correction followed by frontalis suspension surgery to correct the co-existing blepharoptosis. Results The study included 9 cases of BPES, 6 boys and 3 girls, the mean age was 5.4 ± 1.5 in the study group, all patients had a positive family history for BPES. After surgery, the mean IICD decreased from 38.44 mm preoperatively to 32.8 mm postoperatively, with a mean difference of 6.2 mm (P < 0.001). Likewise, the mean PFL increased from 20.78 mm preoperatively to 26.63 mm postoperatively, with a mean difference of 5.8 mm (P < 0.001). Epicanthus skin fold disappeared in all cases and medical canthus could be seen with well healed difficulty seen scars. Conclusion C-U medial canthoplasty with lateral canthoplasty in Blepharophimosis Syndrome was found to be an effective procedure in the correction of epicanthus and telecanthus.

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“…Tek aflamal› cerrahide telekantus-epikantus ile birlikte pitozis de ayn› seansta düzelti-lir. Tek aflamal› cerrahiyi savunan yazarlar, iki aflamal› cerrahide riskin ve maliyetin artaca¤›n›, hastanede kal›fl süresinin uzamas› ile rehabilitasyonun zorlaflaca¤›n› ifade etmifllerdir (7,8). Ancak yazarlar tek aflamal› cerrahide kapa¤a ayn› anda horizontal (telekantus-epikantus cerrahisi) ve vertikal (pitozis cerrahisi) yönde çekme kuvvetlerinin uygulanmas› nedeni ile kapak aral›¤›nda yetersiz düzeltme ve medial kantal bölgede gevfleme ile telekantusun tekrarlamas› gibi istenmeyen yan etkilerin görülebilece¤ini bildirmifllerdir (7).…”

Section: Tart›flmaunclassified

“…Ambliyopiyi önlemek amac› ile erken cerrahi uygulanabilir (3,7,8). Erken cerrahide karfl›lafl›labilen önemli komplikasyonlardan biri yetersiz düzeltmedir.…”

Section: Tart›flmaunclassified

Two-Step Surgery for Telecanthus-Epicanthus and Ptosis in Patients with Blepharophimosis

Yeniad¹,

Bilgin²

2010

tjo

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ÖzetAmaç: Blefarofimozisli hastalarda, pitozis ve telekantüs-epikantüs cerrahilerinin sonuçlar›n›n de¤erlendirilmesi. Gereç ve Yöntem: Blefarofimozisli 10 hastan›n klinik özellikleri ve cerrahi sonuçlar› geriye dönük olarak de¤erlendirildi. Telekantüs-epikantus onar›m›nda çift Z-plasti ve nazal telleme, pitozis düzeltilmesinde ise otojen fasia lata ile frontal ask› cerrahisi uyguland›. Sonuçlar: Hastalar›n ortalama takip süresi 19,6 ay (6-84 ay) idi. Ortalama yafl ise 10,2±7,5 y›l (3-28 y›l) olarak saptand›. Tüm hastalarda epikantus/telekantus onar›m› yap›ld›. Yedi hastada pitozisin düzeltilmesi amac› ile frontal ask› cerrahisi uyguland›. Hastalar›n hepsinde cerrahi sonras›nda her iki kantal bölgede simetri sa¤lanarak kantal aç› oluflturuldu. Pitozis cerrahisi uygulanan tüm hastalarda kapak simetrisi sa¤land›. Tart›flma: Kal›tsal blefarofimozis sendromlu hastalarda, iki aflamal› olarak, telekantus-epikantus ve frontal ask› cerrahilerinin yap›lmas›yla estetik ve ifllevsel aç›dan baflar›l› sonuçlar elde edilebilir. (TJO 2010; 40: 271-4) Anahtar Kelimeler: Blefarofimozis, pitozis, telekantus, frontal ask›, nazal telleme Summary Purpose: To evaluate the results of ptosis and telecanthus-epicanthus surgeries in patients with blepharophimosis. Material and Method: Clinical features and surgical results of 10 patients with blepharophimosis were analyzed retrospectively. Double Z-plasty and nasal wiring were performed for the correction of telecanthus-epicanthus. Frontalis suspension surgery with autogenous fascia lata was performed for the correction of ptosis. Results: The mean follow-up time of patients was 19.6 (range: 6-84) months. The mean age was 10.2±7.5 (range: 3-28) years. Epicanthus and telecanthus were corrected in all patients. Ptosis was corrected with frontalis suspension surgery in 7 patients. All patients had symmetry in the canthal region and good canthal angle postoperatively. All patients who underwent ptosis surgery had eyelid symmetry. Discussion: In patients with hereditary blepharaphimosis syndrome, successful aesthetic and functional outcomes can be achieved with telecanthus-epicanthus and ptosis correction in two-stage surgery. (TJO 2010; 40: 271-4)

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One-Stage Repair of Blepharophimosis

Cited by 18 publications

References 0 publications

Blepharophimosis–ptosis–epicanthus inversus syndrome: objective analysis of surgical outcome in patients from a single unit

Blepharophimosis–ptosis–epicanthus inversus syndrome: objective analysis of surgical outcome in patients from a single unit

Surgical outcome of epicanthus and telecanthus correction by C-U medial canthoplasty with lateral canthoplasty in treatment of Blepharophimosis syndrome

Two-Step Surgery for Telecanthus-Epicanthus and Ptosis in Patients with Blepharophimosis

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