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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Related Experiment Video

Updated: Jun 20, 2026

A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy
06:08

A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy

Published on: January 23, 2026

Bridge of bone canthopexy.

Michael J Yaremchuk1, Yi-Chieh Chen

  • 1Massachusetts General Hospital, Boston, MA 02114, USA. dr.y@dryaremchuk.com

Aesthetic Surgery Journal
|September 1, 2009
PubMed
Summary

Bridge of bone canthopexy offers a stable method for repositioning the lateral canthus. This technique uses wire sutures and bone landmarks for precise and adjustable canthal fixation.

Area of Science:

  • Oculoplastic surgery
  • Orbital reconstructive surgery

Background:

  • Significant canthal repositioning is often required in reconstructive and aesthetic oculoplastic surgery.
  • Existing methods may lack the stability or precision needed for complex cases.

Purpose of the Study:

  • To describe and evaluate the bridge of bone canthopexy technique for stable and accurate canthal repositioning.
  • To highlight the method's utility in achieving significant canthal position changes.

Main Methods:

  • A figure-of-eight titanium wire suture is used to secure lateral canthal structures.
  • Drill holes are created in the lateral orbital rim, referencing zygomaticofrontal sutures for landmark accuracy.
  • A canthal fixation point is established at a measured distance from the zygomaticofrontal suture.

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  • Wire fixation over a created bone bridge ensures stability against soft tissue forces.

    • Main Results:

    • The technique provides maximum stability for canthal fixation.
    • Accurate and symmetric canthus positioning is achieved through measured distances from fixed anatomic points.
    • The method allows for fine adjustments of canthal position by manipulating the wire ends.

    Conclusions:

    • Bridge of bone canthopexy is a valuable technique for cases requiring substantial canthal repositioning.
    • It offers enhanced stability and precision compared to other canthopexy methods.
    • The technique allows for intraoperative adjustments, optimizing aesthetic and functional outcomes.