Arch Craniofac Surg.  2019 Oct;20(5):329-331. 10.7181/acfs.2019.00395.

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

• Choi BG
• Kim YH

• KMID: 2462489
• DOI: http://doi.org/10.7181/acfs.2019.00395

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.

Keyword

Congenital abnormalities; Craniofacial abnormalities; Waardenburg syndrome

MeSH Terms

Adult
Cicatrix
Congenital Abnormalities
Craniofacial Abnormalities
Humans
Lacrimal Apparatus
Stents
Tendons
Waardenburg Syndrome*