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A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy
Published on: January 23, 2026
Simplified repair of zygomatic fractures through a transconjunctival approach
Eli L Chang1, Mark P Hatton, C Robert Bernardino
1Ophthalmic Plastic, Orbital & Reconstructive Surgery, Doheny Eye Institute, University of Southern California Keck School of Medicine, Los Angeles, California 90033, USA.
Objective:
To describe a simplified technique of zygomatic fracture repair.
Design:
Retrospective, noncomparative case series with description of a surgical technique.
Participants:
Twenty consecutive patients with zygomatic fractures undergoing repair with the described technique.
Intervention:
Fracture repair was accomplished with a technique that used a T-bar screw for reduction through a transconjunctival approach.
Main Outcome Measure:
Successful fracture reduction.
Results:
Twenty patients with zygomatic fractures underwent successful reduction with the simplified technique. No complications were observed.
Conclusions:
The use of the T-bar through a transconjunctival approach is a simplified and effective technique for zygomatic fracture repair.

