The Experts below are selected from a list of 1335 Experts worldwide ranked by ideXlab platform
Wan Suk Yang - One of the best experts on this subject based on the ideXlab platform.
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Telecanthus associated with blepharoptosis
Archives of Plastic Surgery, 2011Co-Authors: Bong Soo Baik, Jae Il Choi, Jeong Hoon Suhk, Wan Suk YangAbstract:Purpose: Blepharoptosis is often associated with Telecanthus and the presence of epicanthal fold in Telecanthus is one of unique features in Asian eyelids. The purpose of this article is to define Telecanthus and pseudoTelecanthus, and to determine optimal surgical procedure depending on classification of Telecanthus. Methods: Among 187 patients with blepharoptosis who had the advancement procedure of the Muller's musclelevator aponeurosis composite flap for ptosis, 55 patients underwent Flowers' split V-W plasty concomitantly with shortening the medial canthal tendon for correction of Telecanthus from September 2003 to January 2011. Among them, 52 patients were followed up for 16 months. We newly defined Telecanthus because Mustarde ratio is inaccurate to measure in certain cases and then made a definition of pseudoTelecanthus. Besides, we also classified Telecanthus into mild, moderate and severe types based on its severity. Results: Telecanthus is defined when the ICD (inner canthal distance) is greater than 110% of normal ICD. PseudoTelecanthus is a Telecanthus like a wide skin bridge formed between the eyes because of the epicanthal fold in the normal ICD. Flowers' split V-W plasty combined with shortening medial canthal tendon was very effective in mild and moderate Telecanthus with almost invisible scar and no recurrence occurring. In severe types, however, it showed high incidence (28%) of incomplete correction of Telecanthus. Conclusion: New definition of Telecanthus can be easily applied to any case and we think the classification of Telecanthus is useful to select an appropriate operative procedure. Split V-W plasty with shortening of medial canthal tendon is a very effective procedure in mild and moderate Telecanthus. Besides, it is also effective in improving the treatment outcomes of ptosis in cases of blepharoptosis associated with Telecanthus.
Paola Fusilli - One of the best experts on this subject based on the ideXlab platform.
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Unknown syndrome: peculiar face, severe hypodontia of permanent teeth, and precocious choroid calcifications.
Journal of Medical Genetics, 1998Co-Authors: Rosanna Pallotta, Paola FusilliAbstract:We describe a mother and her twin daughters affected with severe hypodontia of the permanent teeth, precocious calcification of the choroid plexus, and minor digital anomalies. The presence of inner Telecanthus, broad and flattened nasal bridge, mild ocular proptosis, small nose with anteverted nostrils, and slight microretrognathia gives them an unusual appearance. All three affected persons are of normal intelligence.
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Unknownsyndrome: peculiar face, severe hypodontia ofpermanent teeth, andprecocious choroid calcifications
1998Co-Authors: Rosanna Pallotta, Paola FusilliAbstract:We describe a motherand her twin daughters affected withsevere hypodontia ofthepermanent teeth, precocious calcificationofthechoroidplexus, andminor digital anomalies. Thepresence ofinner Telecanthus, broadand flattened nasal bridge, mildocular proptosis, smallnose withanteverted nostrils, andslight microretrognathia givesthemanunusualappearance. Allthree affected persons areof normalintelligence. (JMedGenet1998;35:435-437)
Kenji Naritomi - One of the best experts on this subject based on the ideXlab platform.
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Two sisters with Toriello-Carey syndrome.
American Journal of Medical Genetics, 1999Co-Authors: Yasutsugu Chinen, Takaya Tohma, Yoshinori Izumikawa, Hirohisa Taketomi, Tetsu Iha, Takao Ohta, Kenji NaritomiAbstract:Toriello-Carey syndrome comprises agenesis of the corpus callosum, Telecanthus, short palpebral fissures, small nose with anteverted nares, Robin sequence, abnormally shaped ears, cardiac defect, and hypotonia. We describe two Japanese sisters with a Toriello-Carey syndrome whose phenotypes were as severe as reported male cases. The younger sister died suddenly at age 4 months. Our patients with a severe phenotype and possible parental consanguinity suggest autosomal recessive inheritance of Toriello-Carey syndrome.
Yong-ha Kim - One of the best experts on this subject based on the ideXlab platform.
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Oblique transnasal wiring canthopexy via Y-V epicanthoplasty for Telecanthus correction in a patient with Waardenburg syndrome.
Archives of Craniofacial Surgery, 2019Co-Authors: Bong Gyu Choi, Yong-ha KimAbstract: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.
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medial canthopexy using modified hiraga s incision for correction of traumatic Telecanthus
Journal of the Korean society of plastic and reconstructive surgeons, 2010Co-Authors: Jong Hyo Lim, Yong-ha Kim, Tae Gon Kim, Jun Ho LeeAbstract:Purpose: Traumatic Telecanthus can result from nasoethmoid-orbital fractures. Repair of the medial canthal tendon (MCT) using transnasal wiring is regarded as a choice of method to treat Telecanthus, however, is often complicated by incomplete anchoring and drift of canthus, extrusion of wire, in-fracture of orbital bone, and eye damage. The authors introduced oblique transnasal wiring method through the Hiraga's epicanthopalsty incision instead of well-known classical bicoronal approach. Methods: Five patients with traumatic Telecanthus were treated with this method. Though the Hiraga's epicanthoplasty incision, we could approach the operative field; the medial orbital wall and detached MCT. Oblique transnasal wiring was performed as following steps. After slit skin incision on the contralateral nasal recession area, drill holes were made from this point to the superior and posterior point of lacrimal sac of deformed eye. A 2-0 wire was double-passed through the holes and MCT. Traction was applied to ensure pulling the MCT and the wires were twisted in the contralateral nose, securing the MCT in the correct position. Results: All patients except 1 person showed improvement and rapid recovery. On average each canthus was moved 5.6 mm medially. In all cases, there were no eyelashes disappear, lacrimal canaliculitis, lacrimal duct injury, or infections. Conclusion: The Hiraga's epicanthoplasty incision could give sufficient operative field to reattach the MCT in traumatic Telecanthus patients. And the oblique transnasal wiring technique is effective for the Asians who have flat nose and exophthalmic eye. The authors conclude that this technique could be a simple, safe and scarless method to correct traumatic Telecanthus.
Jean Pierre Fryns - One of the best experts on this subject based on the ideXlab platform.
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Toriello-Carey syndrome with a 6Mb interstitial deletion at 22q12 detected by array CGH.
American journal of medical genetics. Part A, 2011Co-Authors: Edith Said, Alfred Cuschieri, Joris Vermeesch, Jean Pierre FrynsAbstract:Toriello-Carey syndrome is a rare multiple congenital anomaly syndrome comprising agenesis of the corpus callosum, Telecanthus, short palpebral fissures, abnormal ears, Pierre Robin sequence, and cardiac anomaly. Autosomal recessive inheritance has been hypothesized and chromosome abnormalities have been reported. The present case is a girl with agenesis of the corpus callosum, a large cleft palate, Telecanthus, hypertelorism, atrial septal defect, ventricular septal defect, and patent ductus arteriosus. A routine karyotype and fluorescence in situ hybridization subtelomeric analysis were normal. Array comparative genomic hybridization (CGH) identified a de novo 6 Mb interstitial deletion at 22q12.1→22q12.2. These findings support recent findings of chromosomal abnormalities in patients with the Toriello-Carey phenotype. We suggest that the clinical features described in some cases with Toriello-Carey syndrome might be due to cryptic chromosomal rearrangements and that array CGH should be considered in any case presenting with clinical features of Toriello-Carey.
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Toriello-Carey syndrome with a 6Mb interstitial deletion at 22q12 detected by array CGH.
American Journal of Medical Genetics Part A, 2011Co-Authors: Edith Said, Alfred Cuschieri, Joris Vermeesch, Jean Pierre FrynsAbstract:Toriello–Carey syndrome is a rare multiple congenital anomaly syndrome comprising agenesis of the corpus callosum, Telecanthus, short palpebral fissures, abnormal ears, Pierre Robin sequence, and cardiac anomaly. Autosomal recessive inheritance has been hypothesized and chromosome abnormalities have been reported. The present case is a girl with agenesis of the corpus callosum, a large cleft palate, Telecanthus, hypertelorism, atrial septal defect, ventricular septal defect, and patent ductus arteriosus. A routine karyotype and fluorescence in situ hybridization subtelomeric analysis were normal. Array comparative genomic hybridization (CGH) identified a de novo 6 Mb interstitial deletion at 22q12.1 22q12.2. These findings support recent findings of chromosomal abnormalities in patients with the Toriello–Carey phenotype. We suggest that the clinical features described in some cases with Toriello–Carey syndrome might be due to cryptic chromosomal rearrangements and that array CGH should be considered in any case presenting with clinical features of Toriello–Carey. © 2011 Wiley-Liss, Inc.
