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medial canthal tendon reconstruction

Raquel Iglesias Conde, Teresa Alonso Alonso, Beatriz González Sixto, Manuel Ángel Rodríguez Prieto
No abstract text is available yet for this article.
December 2015: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
J Álvaro Toribio
BACKGROUND: The final esthetic result is a common concern of patients with eyelid tumors, especially young patients and those with tumors affecting the medial edge of the lower eyelid. METHODS: The procedure herein described combines two lateral flaps: one tarsoconjunctival and the other from the periosteum. The first step is removal of the tumor lesion. Preseptal dissection is then performed through a subciliary incision on both the lateral and medial halves of the eyelid up to the orbital rim...
December 2015: Aesthetic Plastic Surgery
Jihyeon Han, Sung Tack Kwon, Suk Wha Kim, Eui Cheol Jeong
BACKGROUND: The eyelid and canthal areas are common locations for cutaneous tumors. The medial canthus includes, among many other apparatuses, the canthal tendon and lacrimal canaliculi, and its characteristic thin and supple skin is hard to mimic and restore using tissue from other regions. Accordingly, reconstruction of the canthal area can prove challenging for surgeons. Although various methods, such as skin grafts and local flaps from adjacent regions, have been utilized for reconstructive purposes, they present known disadvantages...
January 2015: Archives of Plastic Surgery
William Breakey, Chris Abela, Robert Evans, Owase Jeelani, Jonathan Britto, Richard Hayward, David Dunaway
OBJECTIVE: Hypertelorism may be corrected by either transcranial box osteotomy or facial bipartition. Despite radical bony resection, the associated soft tissue translation often seems disproportionate. The purpose of this study was to review bony and soft tissue movements in a series of 15 consecutive hypertelorism correction cases. METHODS: Two surgical residents in training independently analyzed preoperative and postoperative axial and three-dimensional reconstructed computed tomography data from 15 consecutive patients undergoing facial bipartition (n = 7) or transcranial box osteotomy correction (n = 8) between 2001 and 2010...
January 2015: Journal of Craniofacial Surgery
Chrisfouad R Alabiad, Donald T Weed, Thomas J Walker, Richard Vivero, Georges A Hobeika, Georges F Hatoum, Erin M Shriver, David T Tse
PURPOSE: To describe a surgical technique of en bloc resection of lacrimal sac tumors by the shared expertise of 2 specialists to achieve optimal tumor margin clearance and the simultaneous reconstruction of the bony defect to preserve ocular functions and cosmesis. METHODS: All patients who had resection of malignant nasolacrimal drainage system tumors using the combined technique and posttreatment protocol between 1997 and 2011 were studied in this retrospective, noncomparative, interventional case series...
November 2014: Ophthalmic Plastic and Reconstructive Surgery
Hiromichi Matsuda, Yasuhiro Takahashi, Akihiro Ichinose, Hidetaka Miyazaki, Hirohiko Kakizaki
A 77-year-old woman presented with a 1-year history of a right medial canthal tumor, which was histopathologically diagnosed as a basal cell carcinoma. After removal of the tumor with a 4-mm safety margin, the defect occupied the areas superior and inferior to the medial canthal tendon. We first reconstructed the lower part of the defect using a nasolabial V-Y advancement flap to make an elliptic defect in the upper part. We then created a glabellar subcutaneous pedicled flap to match the residual upper elliptic defect with the major axis set along a relaxed skin tension line...
January 2014: Case Reports in Ophthalmology
Marco Sales-Sanz, Hae-Ryung Won-Kim, Andrea Sales-Sanz, Cesar M Colmenero, Andrea Sanz-López
PURPOSE: To describe the authors' modified combined surgical technique for external dacryocystorhinostomy and transnasal canthopexy. METHODS: A retrospective medical record review was performed including patients with late posttraumatic telecanthus and nasolacrimal duct obstruction treated by their combined dacryocystorhinostomy-transnasal canthopexy technique. In this technique, the bony window is extended superiorly and posteriorly further than in standard dacryocystorhinostomy, to allow pulling the canthus though the window, but at the same time not disturbing the suture of the dacryocystorhinostomy anastomosis...
May 2014: Ophthalmic Plastic and Reconstructive Surgery
Jin Hyung Kim, Jeong Min Kim, Jang Wan Park, Jae Ha Hwang, Kwang Seog Kim, Sam Yong Lee
BACKGROUND: The medial canthus is an important area in determining the impression of a person's facial appearance. It is composed of various structures, including canthal tendons, lacrimal canaliculi, conjunctiva, the tarsal plate, and skin tissues. Due to its complexity, medial canthal defect reconstruction has been a challenging procedure to perform. The contralateral paramedian forehead flap is usually used for large defects; however, the bulkiness of the glabella and splitting at the distal end of the flap are factors that can reduce the rate of flap survival...
November 2013: Archives of Plastic Surgery
Wendy Lynne Parker, Marie-Lucie Lessard
A case of a 67-year-old man with recurrent basal cell carcinoma of the nasal tip and an incidental symptom of epiphora (volunteered by the patient) is presented. Epiphora is an abnormal overflow of tears that fail to drain into the inferior nasal meatus via the nasolacrimal system. Within the differential diagnosis of epiphora and nasolacrimal obstruction is neoplasm - primary, secondary or metastatic. On further investigation, including computed tomography imaging, he was subsequently found to have invasive disease extending along the left embryological cleavage plane superiorly to the medial canthal tendon...
2004: Canadian Journal of Plastic Surgery, Journal Canadien de Chirurgie Plastique
Amir S Elbarbary, Ahmed Ali
INTRODUCTION: Traumatic telecanthus resulting from injuries to the naso-orbito-ethmoidal (NOE) complex is a difficult deformity to treat and involves both esthetic and functional aspects. Delayed or inadequate primary treatment often results in scarring and secondary deformities that are severe and make them extremely problematic to correct. The intricate anatomy of this area makes NOE injuries one of the most challenging areas of facial reconstruction. Several techniques were described to reconstruct the medial canthal tendon (MCT) and repair the telecanthus deformity...
March 2014: Journal of Cranio-maxillo-facial Surgery
Bong Sik Kwon, Jung Sik Kong, Yang Woo Kim, So Ra Kang
BACKGROUND: Medial epicanthal fold operations are among the most frequent cosmetic procedures performed on Asians. However, in complicated patients with this procedure, as yet no effective method has been reported. We have therefore developed a modified epicanthoplasty method for correcting unnatural results in patients who have gone through prior epicanthoplasty. METHODS: In this study, corrective epicanthoplasty was performed on 85 patients in the interval from January 2006 to December 2011...
July 2014: Annals of Plastic Surgery
Ahmet Tas, Fatih C Gundogan, Tolga Kocaturk, Salih Altun, Yalçın Bayram
UNLABELLED: Cutis laxa is a rare congenital or acquired disorder of elastic tissue, characterized by loose skin with folds and multiple internal organ involvement, which may cause life-threatening complications. We present a patient with cutis laxa syndrome who had cross eyelids with esotropia. Bilateral lateral canthal tendon repositioning and bilateral medial rectus recession procedures were performed in a single session. The patient had acceptable eyelid and globe cosmesis after the procedure...
April 2013: Aesthetic Plastic Surgery
Ia O Grusha, Iu F Ivanchenko, L V Sherstneva
Choice of surgical option for lagophthalmos correction (use of encircling allotendinous string or fixation of medial aspect of the lower tarsal plate) in patients with chronic facial palsy is proved. This technique was reinforced with dissection of the tendon or superior tarsal muscle resection and lateral canthopexy. The advantages of surgical methods considering clinical aspects (in particular the degree of medial canthal tendon laxity) are shown.
May 2012: Vestnik Oftalmologii
Jin Rong Low, Siok Bian Ng, Gangadhara Sundar
A 55-year-old man presented with a 2-year history of right-sided epiphora and was referred to the Oculoplastic services for dacryocystorhinostomy. A 3-month progressive growth of a right medial canthal mass was found. MRI revealed an extraconal, lobulated, homogeneously enhancing mass in the lacrimal sac fossa with globe indentation and displacement supero-temporally. Following a transcanalicular needle biopsy which was suggestive of a carcinoma, he underwent medial orbitectomy and maxillectomy, through a lateral rhinotomy, with removal of puncta and canaliculi after ensuring no regional or systemic spread...
December 2011: Orbit
Naing L Tint, Philip Alexander, Anne E Cook, Brian Leatherbarrow
AIMS: To evaluate the functional and cosmetic success rate of combined canalicular laceration and eyelid avulsion repairs using the bi-canalicular Crawford stent, without the concomitant placement of a medial traction suture to repair medial canthal tendon (posterior limb) avulsion. METHODS: Retrospective, non-comparative consecutive case series of 40 consecutive patients with traumatic eyelid avulsion injuries associated with canalicular laceration from 1997 to 2003 who underwent surgical repair using the bi-canalicular Crawford stent were included...
October 2011: British Journal of Ophthalmology
Brian J Lee, Susan G Elner, Raymond S Douglas, Victor M Elner
PURPOSE: To describe the surgical technique for and results of island pedicle cheek flap repair of medial canthal defects. METHODS: We retrospectively reviewed the charts of all patients with medial canthal defects repaired with island pedicle and horizontal advancement cheek flaps from November 2007 and July 2009. Patient demographics, risk factors for poor wound healing, diagnosis, operative findings, technique, and postoperative results were reviewed. RESULTS: Twenty-five patients with a mean age of 61 years underwent reconstruction with island pedicle and horizontal cheek flaps...
September 2011: Ophthalmic Plastic and Reconstructive Surgery
Daniel Nowinski, Frederico Di Rocco, Thomas Roujeau, Philippe Meyer, Dominique Renier, Eric Arnaud
The treatment of orbital fractures aims at the restoration of orbital anatomy and prevention of posttraumatic sequels. The treatment of facial fractures in patients with traumatic brain injury may necessitate a postponement of fracture surgery to allow for brain recovery. However, such delay of reconstruction in complex orbital fractures may lead to inferior results. Fourteen pediatric patients with complex orbital fractures were retrospectively reviewed. Eleven patients (79%) had brain injury, with a mean Glasgow Coma Scale score of 8...
July 2010: Journal of Craniofacial Surgery
Fatma Akbas Kocaoglu, Yasemin Aslan Katircioglu, Ozlem Yalcin Tok, Haluk Pulat, Firdevs Ornek
OBJECTIVE: Involutional ectropion and entropion are characterized by excessive horizontal eyelid length, which is thought to be secondary to laxity of the medial and lateral canthal tendons and to the stretching of the tarsus. Histopathological features of the surgical eyelid specimens from patients with involutional ectropion and entropion were evaluated. DESIGN: Prospective histopathological study. PARTICIPANTS: Eighteen full-thickness eyelid specimens from patients with involutional ectropion and entropion were obtained during horizontal eyelid shortening procedures performed at the Ministry of Health Ankara Training and Research Hospital...
December 2009: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
B Laure, A Petraud, F Sury, D Goga, D Krastinova
Medial canthopexy is a permanent and stable fixation of the internal canthus and its elements in an anatomical position. Transnasal canthopexy is difficult to perform. The specific material includes two square pins, a large and a small one, plus material to explore the lachrymal duct. After infiltration with adrenalin xylocaine at 1 %, the Tessier's orbitonasal incision follows a bayonet route along the medial canthus and then a sub-tarsal route. A succession of broken lines allows increasing the maxillary upward branch and a larger sub-periosteal dissection...
February 2010: Revue de Stomatologie et de Chirurgie Maxillo-faciale
F Sommer
PURPOSE: Various procedures for surgery in eye lid tumours are described. The aim of lid reconstruction is restoration of function, comfort and cosmesis. METHODS: This article presents typical clinical features of and the commonly used surgical procedures for eye lid tumors in relation to lid function and characteristics of lid anatomy. RESULTS: Surgical procedures depend on localisation, extension and histology of the eye lid tumour. A defect that includes the medial or lateral canthus is a special surgical problem...
August 2008: Klinische Monatsblätter Für Augenheilkunde
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