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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction

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Transconjunctival Surgical Access With Modified Aesthetic Lateral Canthotomy.

Elio Hitoshi Shinohara¹, Cristiano Gaujac², Irineu Gregnanin Pedron³

¹Department of Oral and Maxillofacial Surgery (Head: Iron Snidei, MD, DDS), Osasco Regional Hospital SUS/SP Osasco.

The Journal of Craniofacial Surgery

|July 16, 2021

Summary

This study presents a modified lateral canthotomy technique to reduce hypertrophic scarring after surgical treatment of zygomatic bone fractures. The approach aims to improve cosmetic outcomes for patients prone to scarring.

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Area of Science:

Plastic Surgery
Oral and Maxillofacial Surgery
Trauma Surgery

Background:

Surgical treatment of displaced zygomatic bone fractures often requires transcutaneous access.
Transcutaneous incisions can lead to hypertrophic scarring in predisposed individuals.

Purpose of the Study:

To introduce a modified lateral canthotomy technique.
To minimize hypertrophic scar formation in patients undergoing zygomatic fracture repair.

Main Methods:

A modification to the standard lateral canthotomy approach was developed.
The technique was applied during surgical treatment of zygomatic fractures.

Main Results:

The modified technique aims to reduce the incidence or severity of hypertrophic scarring.
Improved aesthetic results are anticipated for patients with scar predisposition.

Conclusions:

The modified lateral canthotomy offers a potential solution for minimizing visible scarring.
This technique may enhance patient satisfaction following zygomatic fracture surgery.