Medial canthal tendon repair in telecanthus patients

الملخص EN

This study aimed to provide a comprehensive review of the techniques used for reconstruction of the medial canthal tendon in telecanthus cases and to analyze the most suitable reconstructive methods for different medial canthal tendon lesions methods.

This clinical study has been done on 22 patients with a 25 medial canthal tendons (MCT) lesions and attended to Al-wasiti and surgical specialties hospitals in the period from February 2003 and march 2004.

The cases studied from clinical, aesthetic and reconstructive aspects.

All patients presented with telecanthus and either congenitally lax or injured medial canthal tendons.

Reconstruction of the lesions was done using four different surgical techniques dirct repair of the medial canthal tendon (canthorraphy) done for four patients, medial canthal tendon( anterior limb) plication for six cases, trans nasal canthopexy was done for nine patients with open reduction and fixation of frontal process of maxilla were done for six patients.

We conclude that desired surgical outcome can be achieved where there is bony attachments of the medial canthal tendon.