Comparision and Analysis of Various Medial Canthoplasties in Correcting Congenital and Traumatic Epicanthus.
- Author:
Kihwan HAN
1
;
Tae Hyun CHOI
;
Dae Gu SON
Author Information
1. Department of Plastic and Reconstructive Surgery, School of Medicine, Keimyung University, Taegu, Korea. khh@dsmc.or.kr
- Publication Type:Original Article
- Keywords:
Medial canthoplasty;
Canthopexy;
Epicanthus;
Anthropometry
- MeSH:
Anthropometry;
Congenital Abnormalities;
Humans;
Orbital Fractures
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
2002;29(1):7-16
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Medial canthoplasty is required to correct congenital anomaly and acquired deformity after trauma, especially nasoethmoid orbital fracture and to correct epicanthal fold. Several medial canthal surgical procedures have been used, but the postoperative results have not always been estimated. Between January 1, 1986 and April 30, 2000, 55 medial canthoplasties were performed in 32 patients. We report the experiences with 55 medial canthoplasties and analyze and compare each methods. The patients who underwent medial canthoplasty were analyzed anthropometrically by the ratio of left to right palpebral fissure dimension, the ratio of postoperative to preoperative palpebral fissure dimension and the ratio of postoperative to preoperative intercanthal distance. And every patient was analyzed clinically by ordinary scale method. Of several singly performed medial canthoplasties, del Campo technique was excellent because the ratio was much improved anthropometrically and the clinical assessments were 'excellent'. Of several singly performed medial canthopexies, transnasal wiring was excellent anthropometrically and clinically. Of simultaneously performed medial canthoplasties, del Campo technique with transnasal wiring were excellent because the ratio was much improved anthropometrically and the clinical assessments were 'excellent'. And the results of simultaneously performed medial canthoplasties group was better than that of singly performed medial canthoplasties group. And so, we concluded that del Campo technique with transnasal wiring for severe cases were recommendable for medial canthoplasty.
