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Boy recovers eye sight after surgeon reshapes face

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Boy recovers eye sight after surgeon reshapes face
A craniofacial surgeon has recently performed a complex procedure on a nine-year-old in order to correct a rare orofacial cleft, which left the boy unable to see clearly owing to the wide separation of his eyes. In addition to improving the boy’s binocular vision drastically, the surgeon was able to reshape his nose and to bring his extremely wide-set eyes together into a more normal position.

The procedure was carried out by Dr S.M. Balaji at the Balaji Dental and Craniofacial Hospital, who has been operating on such deformities since 1999. According to the surgeon, Suhail Khan was referred to the hospital by a local surgeon for correction of his hypertelorism, a medical condition that was evident in an increased distance between his facial halves.

Prior to the surgery, Khan’s facial deformity cleaved his nostril, nasal bones and skull in such a way that his eyes were set wide apart, losing their binocular vision capacity, preventing him from attending school properly. His nose was flat, broad and cleaved, Balaji reported. An initial examination revealed that the boy had an interpupillary width of about 65 mm and an intercanthal width of approximately 50 mm, which is almost double the normal width for a child of his age, said Balaji. The distance between his eyebrows was 35 mm.

According to Balaji, craniofacial clefts as in the present case are rare facial deformities. “These clefts are very complex to handle: since they involve the facial skeleton, they require both skeletal and soft-tissue correction,” he said.

Balaji and his surgical team reduced the distance between the boy’s eyes by performing facial bipartition. They cut and separated the orbits from the skull and removed the midfacial bone segment from the anterior skull base, which allowed the doctors to rotate and move the two halves of the midface towards each other.



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