Abstract THE PURPOSE of this communication is to introduce a modification of the medial canthoplasty procedure previously described by Converse and Smith.1-5 These authors proposed a wire transfixion technique in unilateral and bilateral canthoplasties for naso-orbital fractures. This procedure was also used in conjunction with dacryocystorhinostomies, whenever indicated. In addition, it was successfully employed in the correction of congenital telecanthus. At this point it may be well to define this term as used by J. O. Mustardé: Telecanthus, which is defined as increased breadth between the medial canthi, must be carefully distinguished from hypertelorism, which is increased breadth between the eyes, as measured by increased interpupillary distance. In the latter condition, the most significant clinical symptom is the increased separation of the eyes, and the most important radiological observation is the excessive breadth of the naso-ethmoid region and intraorbital width. In telecanthus, on the other hand, the medial canthi may References 1. Converse, J.M., and Smith, B.: Naso-orbital Fractures and Traumatic Deformities of the Medial Canthus , Plast Reconstr Surg 38:147-162 ( (Aug) ) 1960.Crossref 2. Converse, J.M., and Smith, B.: " Deformities of Eyelids and Orbital Region ," in Converse, J.M. (ed.): Reconstructive Plastic Surgery , Philadelphia: W.B. Saunders Co., 1964, pp 645-661. 3. Converse, J.M., and Smith, B.: Naso-Orbital Fractures , Trans Amer Acad Ophthal Otolaryng 67:622-634 ( (Sept-Oct) ) 1963. 4. Converse, J.M., and Smith, B.: " An Operation for Traumatic and Congenital Hypertelorism ," in Troutman, R.C.; Converse, J.M.; and Smith, B. (eds.): Plastic and Reconstructive Surgery of the Eye and Adnexa , Washington: Butterworth Inc., 1962, pp 104-109. 5. Converse, J.M., and Smith, B.: Canthoplasty and Dacryocystorhinostomy in Malunited Fractures of the Medial Wall of the Orbit , Amer J Ophthal 35:1,103-1,114 ( (Aug) ) 1952. 6. Mustardé, J.C.: Repair and Reconstruction of the Orbital Region , Baltimore: Williams and Wilkins Co., 1966. 7. Mustardé, J.C.: The Treatment of Ptosis and Epicanthal Folds , Brit J Plast Surg 12:252-258, 1959.Crossref 8. Callahan, A.: Reconstructive Surgery of the Eyelids and Ocular Adnexa , Birmingham: Aesculapius Publishing Co., 1966. 9. Callahan, A.: Secondary Re-attachment of the Medial Canthal Ligament , Arch Ophthal 70:240 ( (Aug) ) 1963.Crossref 10. Fox, S.A.: Blepharophimosis , Amer J Ophthal 55:469-475 ( (March) ) 1963. 11. Fox, S.A.: Some Methods of Lid Repair and Reconstruction , Amer J Ophthal 31:317-322 ( (March) ) 1948. 12. Spaeth, E.B.: Further Considerations on the Surgical Correction of Blepharophimosis (Epicanthus) , Amer J Ophthal 41:61-71 ( (Jan) ) 1956. 13. Hughes, W.L.: Surgical Treatment of Congenital Palpebral Phimosis , Arch Ophthal 54:586-590 ( (Oct) ) 1955.Crossref 14. Johnson, C.C.: Epicanthus , Amer J Ophthal 66:939-946 ( (Nov) ) 1968. 15. Johnson, C.C.: Surgical Repair of Syndrome and Epicanthus Inversus, Blepharophimosis, and Ptosis , Arch Ophthal 71:510-516 ( (April) ) 1964.Crossref 16. Johnson, C.C.: Blepharoptosis, Selection of Operation, Operative Techniques, Complications , Arch Ophthal 66:793-805 ( (Dec) ) 1961Crossref 17. 67:18-34 (Jan) 1962.
Archives of Ophthalmology – American Medical Association
Published: Sep 1, 1969