information on trans nasal wiring

[Guest guest]

Thank you Shireen for the info on Trans nasal wiring and for all of your

hard work on keeping us informed.

I'm sure you'll share his research paper with us as soon as it's published.

el.

Evergreen Lee

397 Freeman Crescent,

Oakville, ON L6H 4R4

Phone: 905 338-8762

Fax: 905 338-1157

Cell: 416 526-7581

>From: " Shireen Mohandes " <andy.bowles@...>

>Reply-blepharophimosis

><blepharophimosis >

>Subject: blepharophimosis information on trans nasal wiring

>Date: Thu, 12 Oct 2006 22:55:35 +0100

>

>Hi all

>Back in March I posted some information. I am posting it again, please see

>below.

> Hardy is a doctor who used to work at Moorfields Eye Hospital in

>London. He was carrying out research on BPES. We hope to see the article he

>wrote about his research shortly.

>Regards

>Shireen Mohandes

>London, England

>

>~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

>

>From: Hardy, Sent: 12 March 2006 11:36 andy.bowles@...

>

>Subject: Re: a questions for you

>

>Dear Shireen,

>

>Thankyou for the email.

>

>Regarding trans-nasal wiring: This procedure is done when the space between

>the inner angles of the eyes (which is widened in BPES, and is called

>telecanthus) is too large to be corrected by operating on the soft tissues

>in this area alone, especially the tendon which connects the inner angles

>of

>the eyes to the bone on the side of the nose. The wire is passed through /

>around said tendons and then passed through the nasal cavity to the other

>side, where it is connected to the opposite tendon in a similar fashion.

>The

>wire is tightened and effectively brings the inner angles of the eye on

>each

>side closer together. The outcome can be a little unpredictable in some

>cases.

>

>Not that many people have had it done as it doesn't need to be done too

>often, as the distance between the inner angles of the eyes is usually not

>so great, but it certainly is done and has been done on BPES patients

>treated at Moorfields (and elsewhere, of course!). I'm afraid I can't

>easily find an image of the procedure to send you, mainly because of

>copyright rules, but you could find it in a text book of oculoplastic

>surgery if necessary.

>

>You are absolutely right not to try to give medical advice - it can be a

>complicated area, so others are best referred to their own doctor +/- an

>oculoplastic or plastic surgeon.

>

> Hardy

>