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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.
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Medial canthus repositioning in severe traumatic conditions with “Micro quickanchor” • E. MancelSalino *, J. F. Hervé** • * Ophthalmology Department, ** ENT and Maxillofacial Department • Centre Hospitalier Territorial de Nouméa • New Caledonia Congress of European Society of Ophthalmology 8-11 June 2013 Copenhagen
Canthusrepositioningcanbe a challenge in severetraumatic conditions Patient T has total avulsion of inferioreyelid, withsynechiae of the lateralhalf of the superioreyelid and the inferioredge of the wound. Patient H has inferiorcicatricial ectropion plus inferior and lateral migration of medialcanthus of 1 cm
WeusedMicroquikanchor to reposition the canthi Micro quikanchorisusedwith a 1,3 x 5,0 mm drill to anchor the reminingtarsal plate (patient H) or the auricular cartilage graft (patient T) to the orbital rim to reposition the canthiduring the palpebral reconstruction. It is more simple and quickerthantransnasalwire, and veryprecise for positionning.
Patient H: excision of the dense contractedscarfrom the cheek to the entiremedialcanthusfollowed by Z-plasty, thenmedialcanthoplastywith fixation of upper and lowertarsal plates to the Micro quickanchor on the anterior lacrymal crest. During surgery: medial refixationof 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 externalpalpebralsynechiae, then the auriculargraftwassuturedmediallywith the microanckor to the anterioredge of the lacrymal crest and temporally to a periostium lambeau with gore tex 4/0. Last a cutaneousgraftcovered the auriculargraft. Duringsurgery: strongmedial fixation of the auriculargraftwith the Micro quickanchor Resultat 1 day post-operatively, with good estheticresult due to stable and precisecanthoplasty. • micro Disclosure statement: The authors have nothing to disclose The authors thank: Dominique SALINO, Grégory DELEENS, Marc FERMAUT.
