Medial Canthal Tendon Reconstruction with Nasal Periosteum

Leibsohn, Joel; Hahn, Frederick W.

doi:10.1097/00002341-199203000-00006

Cited by 13 publications

(6 citation statements)

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“…The periosteum of the outer face of the orbit is a structure that is commonly used in the reconstruction of the lateral and medial canthal ligament 14 . Lemke et al 12 in 1999 and Game & Morlet 1 in 2007 described the use of short flaps of the periosteum overlying the tarsal strip to rebuild a new lateral canthal ligament and prevent dehiscence.…”

Section: Resultsmentioning

confidence: 99%

Cantopexia e reforço tarsal com retalho de periósteo

Cardim¹,

Bazzi²,

Silva³

et al. 2013

Rev. Bras. Cir. Plást.

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Cardim VLN et al. Canthopexy and tarsal reinforcement using a periosteal flap Cantopexia e reforço tarsal com retalho de periósteo ABSTRACT Introduction: The low resistance of the palpebral tissues to the retractable forces of postoperative scarring can predispose patients to undesirable surgical outcomes. Among the more effective techniques for solving this issue are the periosteal flaps. This report aims to present a technique for canthopexy and tarsal reconstitution using a periosteal flap to obtain a consistent and definitive reinforcement of the tarsal ligament and its continuity to the inner face of the sidewall of the orbit. Methods: From July 2009 to December 2012, 49 patients underwent canthopexy with flap rotation of the arcus marginalis of the inferior tarsus. The functional and aesthetic results were evaluated together with the presence of complications. Results: Eighty-four cantopexies and tarsal reinforcements using a periosteal flap were performed in 49 patients. No complications such as hematoma, infection, or necrosis were observed. Complete remission of the preoperative signals was observed in 45 (91.8%) patients, while the other 4 (8.2%) showed partial remission on at least one of the sides related to prior ocularis paralysis. Conclusions: Canthopexy reinforced by a tarsal periosteal flap provides good tarsal ligament reconstitution with appropriate positioning of the outer corner and good contact of the eyelid with the ocular globe.

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Section: Resultsmentioning

confidence: 99%

Cantopexia e reforço tarsal com retalho de periósteo

Cardim¹,

Bazzi²,

Silva³

et al. 2013

Rev. Bras. Cir. Plást.

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“…Lemke et al reported on 141 (79 patients) lateral orbital margin based periosteal flap combined with a tarsal strip procedure to confer structural stability to the LCT . Leibsohn and Hahn described two cases of MCT reconstruction with nasal periosteum hinged at the lateral level of the MCT . Cardim et al presented a technique of inferior tarsal plate reconstruction using a superolateral orbital rim based periosteal flap in 84 cases (49 patients).…”

Section: Discussionmentioning

confidence: 99%

“…17 Leibsohn and Hahn described two cases of MCT reconstruction with nasal periosteum hinged at the lateral level of the MCT. 18 Cardim et al presented a technique of inferior tarsal plate reconstruction using a superolateral orbital rim based periosteal flap in 84 cases (49 patients). In patients with significant tarsal laxity, a second periosteal flap was created vertically above the MCT, and transposed to fuse with the lateral periosteal flap.…”

Section: Discussionmentioning

confidence: 99%

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Floppy eyelid syndrome “plasty” procedure: Employment of a periosteal transposition flap for surgery of floppy eyelid syndrome

Waldie

Francis

Coroneo

et al. 2019

Clinical Exper Ophthalmology

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Importance Floppy eyelid syndrome “plasty” (FESplasty) is a surgical technique that addresses underlying superior tarsal plate and lateral canthal instability in floppy eyelid syndrome (FES) and aims to restore normal anatomical and physiological function to the upper eyelid. Background To describe the use of FESplasty in the surgical management of FES, and to report outcomes in an initial patient cohort. Design Retrospective study. Participants Seven patients (nine eyelids) with FES undergoing FESplasty. Methods A single surgeon (G.W.) performed all procedures. FESplasty utilizes a periosteal flap based at the inferolateral orbital rim, and applied to the anterior surface of the upper tarsal plate. It is combined with a titrated shortening procedure of the upper eyelid. Patient demographics, comorbidities and ocular symptoms and signs were recorded preoperatively. Pre‐ and postoperative upper eyelid distractibility were graded and documented. Main Outcome Measures Postoperative improvement in upper eyelid distractibility and symptomatology, operative complications and FES recurrence. Results FES symptoms and upper eyelid laxity improved at last follow‐up (average 24 weeks) in all patients, with no FES recurrences after a maximum follow‐up of 36 weeks. One patient, in whom FESplasty exacerbated his pre‐existing aponeurotic ptosis, required definitive ptosis surgery subsequently. There was one case of postoperative wound infection. Obstructive sleep apnoea was present in four of the seven patients. The remaining three patients were awaiting assessment. Conclusions and Relevance FESplasty is likely to confer long‐term effective stabilization of the lateral canthal tendon, lateral commissure and superior tarsal plate. Anatomical and functional results appeared to have been successfully achieved.

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“…Disruption of its attachments can lead to medial ectropion, epiphora, or telecanthus. 7 The conjunctiva is composed of nonkeratinizing, stratified squamous epithelium and forms the posterior-most layer of the eyelid. 3 The upper and lower eyelid retractor muscles are located immediately anterior to the conjunctiva.…”

Section: Surgical Anatomy Of the Eyelidmentioning

confidence: 99%

Eyelid Reconstruction

Alghoul

Pacella

McClellan

et al. 2013

Plastic and Reconstructive Surgery

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Reconstruction of the eyelids after excision of skin cancer can be challenging. Knowledge of surgical eyelid anatomy and appropriate preoperative planning are critical in order to perform eyelid reconstruction and minimize complications and the need for reoperation. The fundamental principle for full-thickness eyelid reconstruction is based on reconstructing the subunits of the eyelid, including the anterior and posterior lamellae as well as the tarsoligamentous sling.

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Medial Canthal Tendon Reconstruction with Nasal Periosteum

Cited by 13 publications

References 0 publications

Cantopexia e reforço tarsal com retalho de periósteo

Cantopexia e reforço tarsal com retalho de periósteo

Floppy eyelid syndrome “plasty” procedure: Employment of a periosteal transposition flap for surgery of floppy eyelid syndrome

Eyelid Reconstruction

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