information on trans nasal wiring

[Guest guest]

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

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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