Reshaping the orbits (eye sockets) means that widely spaced eyes can be moved closer together, and bringing the orbits forward can also means that the eyes sit deeper in the skull so are less likely to be damaged.
Orbital box osteotomy may be carried out at any point from mid-childhood onwards. Children with the following types of craniofacial conditions may benefit from this operation:
- Hypertelorism (widely spaced eyes) which may be a feature of many conditions
- Cranio-fronto-nasal dysplasia
- Fronto-nasal dysplasia
- Midfacial cleft
- Orbital dystopia
It may be the only form of treatment needed or it may be just one of a series of operations carried out throughout childhood and adolescence.
Getting ready for the operation
The night before surgery
On the day of surgery
What anaesthetic is given?
What does the operation involve?
Are there any risks?
Are there any alternatives?
What happens after the operation?
Follow up appointments
What is the outlook for children who have had an orbital box osteotomy?
Please note this is a generic GOSH information sheet. If you have specific questions about how this relates to your child, please ask your doctor. Please note this information may not necessarily reflect treatment at other hospitals.