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Updated: Jun 18, 2026

A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy

A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy

Published on: January 23, 2026

[Transnasal canthopexy].

B Laure¹, A Petraud, F Sury

¹Service de chirurgie maxillofaciale et plastique de la face, CHU Trousseau, route de Loches, 37044 Tours cedex, France. laure@med.univ-tours.fr <laure@med.univ-tours.fr>

Revue De Stomatologie Et De Chirurgie Maxillo-Faciale

|November 26, 2009

Summary

This study details a surgical technique for medial canthopexy, a permanent fixation of the inner eye corner. The described method offers favorable, long-lasting esthetic and functional results with minimal complications.

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Area of Science:

Ophthalmology
Plastic Surgery
Anatomy

Context:

Medial canthopexy provides stable internal canthus fixation.
Transnasal approaches can be challenging.
This technique addresses limitations of existing methods.

Purpose:

To describe a surgical technique for medial canthopexy.
To detail the materials and steps involved in the procedure.
To highlight the efficacy and outcomes of the described method.

Summary:

The procedure involves a Tessier's orbitonasal incision, exposure of the medial canthal tendon (MCT), and fixation using a square pin and metallic wire.
Specialized materials include square pins and instruments for lachrymal duct exploration.
Bone grafting is utilized for medial bone defects to ensure stability.

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Last Updated: Jun 18, 2026

A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy

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Impact:

The technique achieves favorable and long-lasting esthetic and functional results.
Complications associated with the procedure are minimal.
This method offers a stable and effective solution for medial canthopexy.