A Novel Medial Canthal Reconstruction Technique in Children With Blepharophimosis Syndrome.

Abstract:

PURPOSE:There are different techniques for medial canthoplasty in blepharophimosis syndrome where individuals have epicanthus inversus and telecanthus leading to typical facial appearances. These methods have potential problems with scarring, epistaxis, and extrusion of metal plates. METHODS:The authors describe a novel technique of medial canthal reconstruction using titanium microplates with microscrew fixation to the anterior lacrimal crest, with effective, safe, and reproducible results. RESULTS:Seven children with blepharophimosis syndrome underwent medial canthus reconstruction surgery at a single center with the collaboration of a pediatric oculoplastic surgeon and craniofacial plastic surgeon to improve eye opening through correction of the lid contours and telecanthus. CONCLUSIONS:This is a safe, effective, and reproducible technique, with minimal morbidity and rapid postoperative recovery in children. It produces cosmetically acceptable scars and a strong stable reconstruction of the medial canthal insertion.

authors

Parvizi S,Ong J,Abou Rayyah Y,Dunaway D

doi

10.1097/IOP.0000000000001390

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

506-508

issue

5

eissn

0740-9303

issn

1537-2677

journal_volume

35

pub_type

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