Oblique transnasal wiring canthopexy via Y-V epicanthoplasty for telecanthus correction in a patient with Waardenburg syndrome
- Author:
Bong Gyu CHOI
1
;
Yong Ha KIM
Author Information
- Publication Type:Case Report
- Keywords: Congenital abnormalities; Craniofacial abnormalities; Waardenburg syndrome
- MeSH: Adult; Cicatrix; Congenital Abnormalities; Craniofacial Abnormalities; Humans; Lacrimal Apparatus; Stents; Tendons; Waardenburg Syndrome
- From:Archives of Craniofacial Surgery 2019;20(5):329-331
- CountryRepublic of Korea
- Language:English
- 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.