Box Osteotomy

What is a Box Osteotomy?

Box osteotomy is surgery to reposition one or both orbits (the bones holding the eyes).

Who Needs a Box Osteotomy?

Patients who need a box osteotomy may have hypertelorbitism (increased distance between the eyes) or orbital dystopia (abnormal vertical position of one of the orbits).

Many patients who need a box osteotomy have Apert syndrome, Crouzon syndrome or hemifacial microsomia.

How is a Box Osteotomy Performed?

Box osteotomy is performed by a plastic surgeon and a neurosurgeon working together. A zigzag incision is made on top of the head. This incision is hidden within the hair. There are also incisions inside the mouth.

The bones are cut to move the orbit in the desired direction, and the bones are held in the new position with plates and screws.

What Can I Expect After Box Osteotomy?

Most patients are in the hospital 10-14 days after a box osteotomy. There is swelling, which gets better after two weeks. Patients should stay on soft food for 6 weeks.