Vertical orbital dystopia is an abnormally low or high position of one orbit in comparison with the other side which is supposedly normal. The causes of vertical orbital dystopia include Congenital(craniosynostosis, hemifacial microsomia and facial clefting syndrome etc.), Trauma(orbital fracture and irradiation injury etc.), Neoplasms(fibrous dysplasia, antrum carcinoma, intracranial tumors, frontal and ethmoid sinus tumor and angiomatoses etc.)
From the stand point of both visual function and aesthetic aspects, the correction of vertical orbital dystopia is more difficult for the surgeon than in the case of equally great horizontal displacement. Uncorrected vertical orbital dystopia produce significant facial asymmetry and severe deformity than similar amount of horizontal deformity.
The case of a 22 year-old female patient with vertical orbital dystopia associated with large cavernous lymphangioma on right forehead and supraorbital region is presented.
The patient had aesthetically good result by correction of vertical orbital dystopia.
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