Transcript Prise en charge des dysplasies et carcinomes in situ de la

Medial canthus repositioning in severe
traumatic conditions with “Micro quickanchor”
Congress of European Society of Ophthalmology
8-11 June 2013
Copenhagen
E. Mancel Salino *, J. F. Hervé**
* Ophthalmology Department, ** ENT and Maxillofacial Department
Centre Hospitalier Territorial de Nouméa
New Caledonia
Canthus repositioning can be a challenge in severe
traumatic conditions
Patient T has total avulsion of inferior
eyelid, with synechiae of the lateral half of
the superior eyelid and the inferior edge of
the wound.
Patient H has inferior cicatricial
ectropion plus inferior and lateral
migration of medial canthus of 1 cm
We used Microquikanchor to reposition
the canthi
Micro quikanchor is used with a 1,3 x 5,0 mm
drill to anchor the remining tarsal plate (patient
H) or the auricular cartilage graft (patient T) to
the orbital rim to reposition the canthi during
the palpebral reconstruction. It is more simple
and quicker than transnasal wire, and very
precise for positionning.
Patient H: excision of the dense contracted scar from the cheek to the entire
medial canthus followed by Z-plasty, then medial canthoplasty with fixation of
upper and lower tarsal plates to the Micro quickanchor on the anterior lacrymal
crest.
During surgery: medial refixation of both
tarsal plates to the anterior lacrymal crest
with the Micro quickanchor
Result at 1 day post-operatively, with
decrease of the traumatic telecanthus.
Patient T had an excision of the external palpebral synechiae, then the auricular
graft was sutured medially with the microanckor to the anterior edge of the
lacrymal crest and temporally to a periostium lambeau with gore tex 4/0. Last a
cutaneous graft covered the auricular graft.
During surgery: strong medial
fixation of the auricular graft
with the Micro quickanchor
•
Result at 1 day post-operatively,
with good esthetic result due to
stable and precise canthoplasty.
micro
Disclosure statement: The authors have nothing to disclose
The authors thank: Dominique SALINO, Grégory DELEENS, Marc FERMAUT.