Corpus ID: 52247284

Functional and Aesthetic Restoration of Medial Canthal Region Following Naso-Orbito-Ethmoidal ( NOE ) Traumatic Telecanthus

  title={Functional and Aesthetic Restoration of Medial Canthal Region Following Naso-Orbito-Ethmoidal ( NOE ) Traumatic Telecanthus},
  author={A. Elbarbary and Ahmed Ali Hassan},
Background: Injuries to the naso-orbito-ethmoidal (NOE) complex involve functional and aesthetic aspects. The close anatomical relationship among the medial canthus, eyelids, and nasolacrimal drainage system presents a challenge to the reconstructive surgeon in treatment of post NOE traumatic telecanthus. Correction of the deformity requires adequate dissection and mobilization of the medial canthal tendon, subperiosteal exposure of the medial orbit, precise identification of the correct… Expand
Effectiveness of immediate primary correction and medial canthopexy in bilateral naso-orbito-ethmoid fracture
Immediate reconstruction in NOE fracture cases gives a better result compared to delayed surgical management, as implemented in this case. Expand


Repair of telecanthus by anterior fixation of cantilevered miniplates.
Miniplate fixation of the medial canthal tendon should be considered in unilateral cases of traumatic telecanthus and in cases where poor bony support for transnasal wires is evident. Expand
The pattern and incidence of nasolacrimal injury in naso-orbital-ethmoid fractures: the role of delayed assessment and dacryocystorhinostomy.
It is confirmed that naso-lacrimal system injury is less common than originally suspected and dacryocystorhinostomy is necessary, and it should be performed at least 3 months after the primary repair. Expand
Fixation of the Medial Canthal Structures: Evolution of the Best Method
Repairing canthal detachments after orbital cicatrization presented a more formidable challenge than primary repair, when simply attaching the medial canthal stump to the proximal stump with strong absorbable sutures was almost uniformly successful. Expand
Midfacial degloving: an alternative approach for traumatic corrections in the midface.
Midfacial degloving offers good exposure, specially of the central part of the midface, without leaving an external scar, which is useful for reconstructive procedures in patients after midface trauma. Expand
Primary treatment of naso-ethmoid injuries with increased intercanthal distance.
  • M. Stranc
  • Medicine
  • British journal of plastic surgery
  • 1970
It is felt that this approach to severe naso-ethmoid injuries as contrasted with blind percutaneous trans-nasal wires and lateral compression plates results in lower incidence of post-traumatic pseudohypertelorism, decreased incidence of epiphora and satisfactory contouring of the external nose. Expand
Management of the Medial Canthal Tendon in Nasoethmoid Orbital Fractures: The Importance of the Central Fragment in Classification and Treatment
The medial canthal tendon and the fragment of bone on which it inserts (“central” fragment) are the critical factors in the diagnosis and treatment of nasoethmoid orbital fractures. The status of theExpand
When the medial canthal ligament has been avulsed or lacerated and divided, and not reunited at the time of immediate repair, the abnormal tension will pull the lids and the medial canthal angleExpand
Management of injuries of the naso-orbital complex.
Fractures of the naso-orbital bony complex and injuries of the adjacent soft tissues usually occur as a result of a direct force to the dorsum of the nose. The displacement of the bones of the nasalExpand
Medial Canthal Degloving Injuries: The Triad of Telecanthus, Ptosis, and Lacrimal Trauma
A case series of medial canthal degloving injuries is presented, which typically result in characteristic findings of vertically oriented laceration traversing the medial canthus, telecanthus, ptosis, and injury to the lacrimal outflow system. Expand
Medial canthoplasty: Early and delayed repair
A wire to intranasal button technique for the delayed repair of traumatic telecanthus is presented and important diagnostic and therapeutic points are stressed in the acute and delayed management, particularly medial canthal ligament separation. Expand