Surgical Correction of Orbital Malposition: Box Osteotomy and Facial Bipartition | Dr. Daniel Gould

Dr. Daniel Gould co-authored this research published in Plastic and Reconstructive Surgery Global Open, examining surgical approaches for correcting orbital malposition in patients with hypertelorism and other complex craniofacial conditions.

Orbital hypertelorism is characterized by an abnormally increased distance between the eye sockets and can occur as part of congenital craniofacial differences. Surgical correction requires careful repositioning of the bony orbits while considering the surrounding facial skeleton and soft tissue.

The research focused on two established craniofacial techniques: box osteotomy and facial bipartition. Both procedures allow surgeons to reposition the orbits, but they differ in how the facial skeleton is divided and reconstructed.

Dr. Gould and his co-authors examined the indications for each approach, with the goal of helping surgeons determine which technique may be most appropriate based on a patient's individual anatomy and broader reconstructive needs. The work reflects the importance of selecting a surgical strategy that considers not only orbital position but the relationship between the eyes, midface, and overall facial structure.

The research contributes to the continued refinement of complex craniofacial surgery, where detailed anatomical assessment and individualized operative planning are essential to achieving functional and structural correction.