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A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy
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Making a malleable awl using a Steinmann pin for transnasal medial canthopexy
1Department of Plastic Surgery and the Center for Advanced Medical Education, Inha University School of Medicine, Incheon, Korea.
Purpose:
The authors designed a malleable awl using a Steinmann pin for transnasal medial canthopexy.
Methods:
A Steinmann pin with a small eye at the end (00-0187-001-69, Zimmer Inc., Warsaw, IN, U.S.A.) was prepared, and its distal part was bent using pliers (01-9726, Walter Lorenz Surgical Inc., Jacksonville, FL, U.S.A.) to make it a semicircle with the diameter of the circle being the intercanthal distance of the patient.
Results:
Transnasal medial canthopexy was performed for 5 patients with telecanthus. All 5 patients had satisfactory results.
Conclusions:
This malleable awl might allow easy, safe, and stable fixation of the tendon, permit a safe approach with minimal bone fenestration, and be cost effective.
