Orbital hypertelorism: modification of the craniofacial osteotomy line

Summary The aim of treatment in cases of hypertelorism is to obtain an aesthetically normal appearance rather than a normal interorbital distance. The new line of osteotomy to simplify the technique is presented; the operating time was much reduced, thus decreasing the operative risks, especially in children; bone grafts to the temporal region and nose are not necessary, no iliac crest or rib graft is employed; normal aesthetic appearance of the fronto-naso-orbital area is obtained.