title: The role of micro-anchor devices in medial canthopexy.
abstract: Telecanthus, the lateral displacement of the medial canthus, can be a congenital deformity or can occur after facial trauma or tumor resection. Treatment of telecanthus remains a challenge for plastic surgeons. For proper correction, it is necessary to shift the medial canthus medially, fixing its tendon to the bone. The ideal technique would allow easy, safe, and stable fixation of the tendon, permit a unilateral approach with minimal incisions, and be cost-effective. The purpose of this study was to evaluate the feasibility and results (immediate and long-term) of medial telecanthus repair using ipsilateral titanium microanchor fixation. Nine patients, 7 with unilateral telecanthus and 2 with bilateral telecanthus, underwent ipsilateral canthopexy involving a microanchor device. Anthropometric measurements of the orbital regions were taken before, immediately after, and at 1 year after surgery. Data for the affected sides were compared with those for the unaffected sides, and the evolution of those values was assessed throughout the 1-year follow-up period. For all patients, the final values were lower than those initially obtained. At 1 year after surgery, the intercanthal distance was reduced to age-adjusted normal values in all cases. On the operated side, stable improvement was observed in terms of the distance from the medial canthus to the midline, although some degree of recurrence was noted in most of the patients. The use of a microanchor system for medial canthopexy can be considered an easily performed and effective option for treating canthal dystopia, especially when an ipsilateral approach is preferred.
authors.affiliation: Division of Plastic Surgery, University of São Paulo Medical School, São Paulo, Brazil. drdov@terra.com.br
authors.forename: Dov C
authors.initials: DC
authors.lastname: Goldenberg
authors.forename: Endrigo O
authors.initials: EO
authors.lastname: Bastos
authors.forename: Nivaldo
authors.initials: N
authors.lastname: Alonso
authors.forename: Henri
authors.initials: H
authors.lastname: Friedhofer
authors.forename: Marcus C
authors.initials: MC
authors.lastname: Ferreira
mesh_terms: D000293:Adolescent; D000328:Adult; D000886:Anthropometry / Q000379:methods; D002648:Child; D019465:Craniofacial Abnormalities / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005146:Facial Asymmetry / Q000601:surgery*; D005151:Facial Injuries / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D016268:Internal Fixators; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D013710:Tendons / Q000601:surgery; D014025:Titanium
chemical_list: D014025:Titanium