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

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Published on: January 23, 2026

Cicatricial canthal webs.

Guy G Massry1

  • 1Ophthalmic Plastic and Reconstructive Surgery, Spalding Dr. Cosmetic Surgery and Dermatology, Beverly Hills, California, USA. massrymd@aol.com

Ophthalmic Plastic and Reconstructive Surgery
|August 25, 2011
PubMed
Summary
This summary is machine-generated.

Surgical revision of cicatricial canthal webs can significantly improve appearance and function. This technique offers excellent results for patients seeking moderate improvement after eyelid surgery or trauma.

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Area of Science:

  • Ophthalmology
  • Plastic Surgery

Background:

  • Cicatricial canthal webs are a challenging reconstructive issue after eyelid surgery or trauma.
  • These webs cause both cosmetic concerns and functional deficits, such as visual-field obstruction.
  • Existing literature offers limited guidance on surgical revision for these complex cases.

Purpose of the Study:

  • To evaluate the efficacy of a specific surgical technique for revising cicatricial canthal webs.
  • To assess both aesthetic and functional outcomes in patients undergoing this revision procedure.

Main Methods:

  • Retrospective review of eight patients who underwent cicatricial canthal web revision between 2006 and 2010.
  • The surgical technique involved a combination of Y-to-V advancement flap, adjacent tissue rearrangement with Z-plasties, and scar excision.
  • Postoperative injections of Kenalog and/or 5-fluorouracil (5-FU) were administered to modulate wound healing.

Main Results:

  • Eight patients (seven female, one male) with a mean age of 46 underwent the procedure.
  • Seven patients had lateral canthal webs post-surgery, and one had a medial canthal web post-trauma.
  • All patients reported satisfaction with both aesthetic and functional outcomes, with four experiencing improved visual fields.

Conclusions:

  • Surgical revision of cicatricial canthal webs, though carrying risks, can yield excellent aesthetic and functional improvements.
  • The described five-flap technique offers a viable solution for this uncommon but bothersome condition.
  • Realistic patient expectations and a willingness for moderate improvement are key for successful surgical outcomes.