Medial canthoplasty with microplate fixation
G. R. Howard, J. A. Nerad and R. C. Kersten
Department of Ophthalmology, Medical University of South Carolina, Charleston 29425.
Six patients with malpositioned or surgically excised medial canthal
tendons underwent repair with titanium microplate, and two patients
underwent repair with titanium miniplate fixation. The T-shaped rigid
fixation plates were chosen for medial canthal reconstruction to allow for
stabilization of the plate along the anterior lacrimal crest and extension
of the plate over the posterior lacrimal crest. The medial canthal tissue
was reattached to the titanium plate with 3.0 polypropylene (Prolene)
suture. This technique appears to be safer, faster, and, in many cases,
more effective than traditional techniques for reconstruction of the medial
canthus after tendon avulsion or loss from excision of cutaneous carcinoma.
