Medial canthus repositioning in severe traumatic conditions with “Micro quickanchor ”

Medial canthus repositioning in severe traumatic conditions with “Micro

quickanchor”

E. Mancel Salino *, J. F. Hervé*** Ophthalmology Department, ** ENT and Maxillofacial Department

Centre Hospitalier Territorial de Nouméa

New Caledonia

Congress of European Society of Ophthalmology8-11 June 2013

Copenhagen

Canthus repositioning can be a challenge in severe traumatic conditions

Patient T has total avulsion of inferior eyelid, with synechiae of the lateral half of the superior eyelid and the inferior edge of the wound.

Patient H has inferior cicatricial ectropion plus inferior and lateral migration of medial canthus of 1 cm

We used Microquikanchor to reposition the canthi

Micro quikanchor is used with a 1,3 x 5,0 mm drill to anchor the remining tarsal plate (patient H) or the auricular cartilage graft (patient T) to the orbital rim to reposition the canthi during the palpebral reconstruction. It is more simple and quicker than transnasal wire, and very precise for positionning.

Patient H: excision of the dense contracted scar from the cheek to the entire medial canthus followed by Z-plasty, then medial

canthoplasty with fixation of upper and lower tarsal plates to the Micro quickanchor on the anterior lacrymal crest.

During surgery: medial refixation of both tarsal plates to the anterior lacrymal crest with the Micro quickanchor

Result at 1 day post-operatively, with decrease of the traumatic telecanthus.

Patient T had an excision of the external palpebral synechiae, then the auricular graft was sutured medially with the microanckor to

the anterior edge of the lacrymal crest and temporally to a periostium lambeau with gore tex 4/0. Last a cutaneous graft

covered the auricular graft.

During surgery: strong medial fixation of the auricular graft with the Micro quickanchor

• micro

Result at 1 day post-operatively, with good esthetic result due to stable and precise canthoplasty.

Disclosure statement: The authors have nothing to discloseThe authors thank: Dominique SALINO, Grégory DELEENS, Marc FERMAUT.