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Medial Canthoplasty Combined with Conjunctivodacryocystorhinostomy for the Treatment of Delayed Medial Telecanthal Deformity

BACKGROUND:: Rupture of the medial canthal ligament can be caused by many events. It remains a challenge to rebuild the drainage system and restore the function. The aim of this study was to evaluate the clinical efficacy of medial canthoplasty combined with conjunctivodacryocystorhinostomy (CDCR) i... Full description

Journal Title: Chinese Medical Journal 2017, Vol.130(6), pp.698-702
Main Author: Sun, Hua
Other Authors: Li, Yang , Huang, Qian , Ding, Jing-Wen , Hou, Zhi-Jia , Li, Dong-Mei
Format: Electronic Article Electronic Article
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ID: ISSN: 0366-6999 ; DOI: 10.4103/0366-6999.201594
Link: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00029330-201703200-00012
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title: Medial Canthoplasty Combined with Conjunctivodacryocystorhinostomy for the Treatment of Delayed Medial Telecanthal Deformity
format: Article
creator:
  • Sun, Hua
  • Li, Yang
  • Huang, Qian
  • Ding, Jing-Wen
  • Hou, Zhi-Jia
  • Li, Dong-Mei
subjects:
  • Original Article
  • Conjunctivodacryocystorhinostomy
  • Medial Canthoplasty
  • Medial Telecanthal Deformity
ispartof: Chinese Medical Journal, 2017, Vol.130(6), pp.698-702
description: BACKGROUND:: Rupture of the medial canthal ligament can be caused by many events. It remains a challenge to rebuild the drainage system and restore the function. The aim of this study was to evaluate the clinical efficacy of medial canthoplasty combined with conjunctivodacryocystorhinostomy (CDCR) in patients with medial telecanthal deformities and lacrimal drainage system damage. METHODS:: Twenty-two patients (22 eyes) treated with medial canthoplasty and CDCR during June 2012 to June 2014 were included in this retrospective study. For all patients, a self-tapping, titanium, low-profile head microscrew was drilled into the solid bone on the posterior aspect of the anterior lacrimal crest at the attachment position of the medial canthal ligament. Medpor-coated tear drainage tubes were applied. Distance of patientʼs lateral displacement before and after operation was recorded and compared. The complications of CDCR were described. RESULTS:: Before the surgery, distance of patientʼs canthal displacement was 4–6 mm. The canthal distance between two eyes of patients with surgery was 1 mm or less. Among patients with CDCR, four patients had proximal obstruction and two patients had distal obstruction. Five patients had tube malposition, for example, tube extrusion 1–3 months after surgery. CONCLUSIONS:: Medial canthoplasty combined with CDCR is an effective surgical method for treatment of patients with medial telecanthal deformity and lacrimal drainage system obstruction. The study indicates that medial canthoplasty combined with CDCR surgery rebuilds normal appearance of eyelid and contour of the medial canthus and successfully repairs the function of the lacrimal drainage system.
language:
source:
identifier: ISSN: 0366-6999 ; DOI: 10.4103/0366-6999.201594
fulltext: fulltext
issn:
  • 0366-6999
  • 03666999
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titleMedial Canthoplasty Combined with Conjunctivodacryocystorhinostomy for the Treatment of Delayed Medial Telecanthal Deformity
creatorSun, Hua ; Li, Yang ; Huang, Qian ; Ding, Jing-Wen ; Hou, Zhi-Jia ; Li, Dong-Mei
ispartofChinese Medical Journal, 2017, Vol.130(6), pp.698-702
identifierISSN: 0366-6999 ; DOI: 10.4103/0366-6999.201594
descriptionBACKGROUND:: Rupture of the medial canthal ligament can be caused by many events. It remains a challenge to rebuild the drainage system and restore the function. The aim of this study was to evaluate the clinical efficacy of medial canthoplasty combined with conjunctivodacryocystorhinostomy (CDCR) in patients with medial telecanthal deformities and lacrimal drainage system damage. METHODS:: Twenty-two patients (22 eyes) treated with medial canthoplasty and CDCR during June 2012 to June 2014 were included in this retrospective study. For all patients, a self-tapping, titanium, low-profile head microscrew was drilled into the solid bone on the posterior aspect of the anterior lacrimal crest at the attachment position of the medial canthal ligament. Medpor-coated tear drainage tubes were applied. Distance of patientʼs lateral displacement before and after operation was recorded and compared. The complications of CDCR were described. RESULTS:: Before the surgery, distance of patientʼs canthal displacement was 4–6 mm. The canthal distance between two eyes of patients with surgery was 1 mm or less. Among patients with CDCR, four patients had proximal obstruction and two patients had distal obstruction. Five patients had tube malposition, for example, tube extrusion 1–3 months after surgery. CONCLUSIONS:: Medial canthoplasty combined with CDCR is an effective surgical method for treatment of patients with medial telecanthal deformity and lacrimal drainage system obstruction. The study indicates that medial canthoplasty combined with CDCR surgery rebuilds normal appearance of eyelid and contour of the medial canthus and successfully repairs the function of the lacrimal drainage system.
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subjectOriginal Article ; Conjunctivodacryocystorhinostomy ; Medial Canthoplasty ; Medial Telecanthal Deformity;
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descriptionBACKGROUND:: Rupture of the medial canthal ligament can be caused by many events. It remains a challenge to rebuild the drainage system and restore the function. The aim of this study was to evaluate the clinical efficacy of medial canthoplasty combined with conjunctivodacryocystorhinostomy (CDCR) in patients with medial telecanthal deformities and lacrimal drainage system damage. METHODS:: Twenty-two patients (22 eyes) treated with medial canthoplasty and CDCR during June 2012 to June 2014 were included in this retrospective study. For all patients, a self-tapping, titanium, low-profile head microscrew was drilled into the solid bone on the posterior aspect of the anterior lacrimal crest at the attachment position of the medial canthal ligament. Medpor-coated tear drainage tubes were applied. Distance of patientʼs lateral displacement before and after operation was recorded and compared. The complications of CDCR were described. RESULTS:: Before the surgery, distance of patientʼs canthal displacement was 4–6 mm. The canthal distance between two eyes of patients with surgery was 1 mm or less. Among patients with CDCR, four patients had proximal obstruction and two patients had distal obstruction. Five patients had tube malposition, for example, tube extrusion 1–3 months after surgery. CONCLUSIONS:: Medial canthoplasty combined with CDCR is an effective surgical method for treatment of patients with medial telecanthal deformity and lacrimal drainage system obstruction. The study indicates that medial canthoplasty combined with CDCR surgery rebuilds normal appearance of eyelid and contour of the medial canthus and successfully repairs the function of the lacrimal drainage system.
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abstractBACKGROUND:: Rupture of the medial canthal ligament can be caused by many events. It remains a challenge to rebuild the drainage system and restore the function. The aim of this study was to evaluate the clinical efficacy of medial canthoplasty combined with conjunctivodacryocystorhinostomy (CDCR) in patients with medial telecanthal deformities and lacrimal drainage system damage. METHODS:: Twenty-two patients (22 eyes) treated with medial canthoplasty and CDCR during June 2012 to June 2014 were included in this retrospective study. For all patients, a self-tapping, titanium, low-profile head microscrew was drilled into the solid bone on the posterior aspect of the anterior lacrimal crest at the attachment position of the medial canthal ligament. Medpor-coated tear drainage tubes were applied. Distance of patientʼs lateral displacement before and after operation was recorded and compared. The complications of CDCR were described. RESULTS:: Before the surgery, distance of patientʼs canthal displacement was 4–6 mm. The canthal distance between two eyes of patients with surgery was 1 mm or less. Among patients with CDCR, four patients had proximal obstruction and two patients had distal obstruction. Five patients had tube malposition, for example, tube extrusion 1–3 months after surgery. CONCLUSIONS:: Medial canthoplasty combined with CDCR is an effective surgical method for treatment of patients with medial telecanthal deformity and lacrimal drainage system obstruction. The study indicates that medial canthoplasty combined with CDCR surgery rebuilds normal appearance of eyelid and contour of the medial canthus and successfully repairs the function of the lacrimal drainage system.
pub© 2017 Chinese Medical Association
doi10.4103/0366-6999.201594
eissn25425641
date2017-03