Our Summary

This research paper discusses the evolution of surgical techniques used to treat hypertelorism, a condition characterized by an abnormally wide space between the eyes. The study provides a historical overview from the first descriptions of the condition in the early 1920s up to the present use of computer-assisted surgery. It details significant surgical advancements leading to the current state of the art, explaining these changes according to the type of approach used. The paper then describes the most recent practices, particularly highlighting the remarkable progress made thanks to computer-assisted surgery. It also offers an in-depth explanation on the use of cutting guides throughout the surgical procedure.

FAQs

  1. What is hypertelorism and how has its treatment evolved over the years?
  2. How has computer-assisted surgery improved the treatment of hypertelorism?
  3. What role do cutting guides play in the surgical procedure for treating hypertelorism?

Doctor’s Tip

A doctor might tell a patient undergoing craniofacial surgery to follow post-operative care instructions closely, including keeping the surgical site clean and dry, taking prescribed medications as directed, and attending follow-up appointments for monitoring progress and addressing any concerns. It is important to communicate any changes or concerns with your doctor promptly to ensure the best possible outcome.

Suitable For

Patients who are typically recommended craniofacial surgery are those with craniofacial anomalies such as hypertelorism, cleft lip and palate, craniosynostosis, microtia, and other congenital or acquired deformities of the skull and face. These patients may experience functional impairments such as difficulty breathing, feeding, hearing, or vision, as well as psychosocial issues related to their appearance. Craniofacial surgery aims to restore normal form and function, improve quality of life, and enhance overall well-being for these individuals.

Timeline

Before craniofacial surgery:

  1. Initial consultation: The patient meets with a craniofacial surgeon to discuss their condition and treatment options. The surgeon will conduct a physical examination and may order imaging tests to assess the extent of the craniofacial abnormalities.

  2. Pre-operative planning: The surgeon will develop a personalized treatment plan based on the patient’s specific needs and anatomy. This may involve the use of computer-assisted imaging techniques to create a detailed surgical plan.

  3. Pre-surgical preparation: The patient will undergo pre-operative tests and evaluations to ensure they are healthy enough for surgery. They may also meet with other members of the surgical team, such as an anesthesiologist and a plastic surgeon.

After craniofacial surgery:

  1. Immediate post-operative care: The patient will be closely monitored in the recovery room following surgery. They may experience pain, swelling, and bruising, which can be managed with medications and ice packs.

  2. Hospital stay: Depending on the complexity of the surgery, the patient may need to stay in the hospital for a few days to a week for further monitoring and care. The surgical team will provide instructions on wound care, pain management, and activity restrictions.

  3. Follow-up appointments: The patient will have regular follow-up appointments with their surgeon to monitor their progress and ensure proper healing. Additional treatments, such as physical therapy or speech therapy, may be recommended to aid in the recovery process.

  4. Long-term recovery: It may take several weeks to months for the patient to fully recover from craniofacial surgery. They may need to make lifestyle adjustments and attend regular follow-up appointments to monitor their progress and address any complications.

What to Ask Your Doctor

  1. What specific craniofacial surgery procedure is recommended for my condition?
  2. What are the potential risks and complications associated with this surgery?
  3. What is the expected recovery time and post-operative care needed?
  4. Will there be any visible scarring after the surgery?
  5. How many surgeries are typically needed to achieve the desired outcome?
  6. What are the success rates of this type of surgery for my condition?
  7. Are there any alternative treatment options available?
  8. What type of anesthesia will be used during the surgery?
  9. Will I need to follow any specific dietary or lifestyle guidelines before or after the surgery?
  10. How long will the results of the surgery last?

Reference

Authors: Laure B, Batut C, Benouhagrem A, Joly A, Travers N, Listrat A, Pare A. Journal: Neurochirurgie. 2019 Nov;65(5):286-294. doi: 10.1016/j.neuchi.2019.09.007. Epub 2019 Sep 23. PMID: 31557491