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A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy
Published on: January 23, 2026
A new technique for medial canthal tendon fixation.
Gürsel Turgut1, Ozay Ozkaya, Ali Tufan Soydan
1Sişli Etfal Training and Research Hospital, Plastic Reconstructive and Aesthetic Surgery Department, Istanbul, Turkey.
The Journal of Craniofacial Surgery
|July 25, 2008
Summary
Orbital dystopia from naso-orbitoethmoidal trauma can be corrected with unitransnasal canthoplasty. This new technique offers a simple, cost-effective, and reliable method for medial canthal tendon reattachment.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Otolaryngology
Background:
- Naso-orbitoethmoidal fractures and medial canthal region tumor surgery can lead to orbital dystopia.
- Current medial canthal tendon reattachment techniques have significant disadvantages, including detachment and high costs.
Observation:
- A novel surgical approach, unitransnasal canthoplasty, is introduced for addressing medial canthal tendon issues.
- This technique involves passing nonabsorbable sutures through drill holes in the nasal cavity, exiting the nasal ostium, and securing the eyelids to the nasal bone.
Findings:
- Unitransnasal canthoplasty is characterized by its ease of application.
- The technique is noted for being inexpensive and reliable.
Implications:
- This method presents a potentially superior alternative for correcting orbital dystopia caused by medial canthal tendon disruption.
- Further clinical studies may validate unitransnasal canthoplasty as a standard procedure in reconstructive surgery.
