Abstract

This study aimed to provide a comprehensive review of the techniques used for reconstructionof the medial canthal tendon in telecanthus cases and to analyze the most suitable reconstructivemethods for different medial canthal tendon lesions methods. This clinical study has beendone on 22 patients with a 25 medial canthal tendons (MCT) lesions and attended to Al-wasitiand surgical specialties hospitals in the period from February 2003 and march 2004. The casesstudied from clinical, aesthetic and reconstructive aspects.All patients presented with telecanthus and either congenitally lax or injured medial canthaltendons. Reconstruction of the lesions was done using four different surgical techniques dirctrepair of the medial canthal tendon (canthorraphy) done for four patients, medial canthal tendon(anterior limb) plication for six cases, transnasal canthopexy was done for nine patients withopen reduction and fixation of frontal process of maxilla were done for six patients. We concludethat desired surgical outcome can be achieved where there is bony attachments of the medialcanthal tendon.

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The article was added to IASJ on 2012-09-09

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