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How I do it: lateral canthal web revision-single Z-plasty technique.

James Fowler1, Corey C Moore2

  • 1Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, St Joseph's Healthcare Centre, Western University, 268 Grosvenor St, London, ON, N6A 4V2, Canada.

Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'Oto-Rhino-Laryngologie Et De Chirurgie Cervico-Faciale
|September 16, 2022
PubMed
Summary

A Z-plasty technique effectively corrects lateral canthal webs, a common complication after blepharoplasty surgery. This simple revision procedure significantly improves patient satisfaction and eliminates the need for further surgery.

Keywords:
BlepharoplastyLateral canthal webRevision surgeryZ-plasty

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Area of Science:

  • Oculoplastic surgery
  • Cosmetic surgery
  • Reconstructive surgery

Background:

  • Lateral canthal webbing is a recognized complication of blepharoplasty.
  • This occurs when the lateral incision extends below the canthus or excessive skin is removed.
  • No standardized treatment currently exists for this condition.

Purpose of the Study:

  • To evaluate the efficacy of a single Z-plasty technique for correcting lateral canthal webs.
  • To assess patient outcomes following revision surgery for blepharoplasty-induced complications.

Main Methods:

  • Retrospective review of 23 patients undergoing revision surgery between 2011 and 2019.
  • All patients were treated using a single Z-plasty technique by a single surgeon.
  • Patients had prior upper eyelid blepharoplasty procedures.

Main Results:

  • Twenty-three patients with lateral canthal webs post-blepharoplasty were included.
  • Revision surgery using the Z-plasty technique resulted in high patient satisfaction.
  • No patients required additional revision surgery after the Z-plasty procedure.

Conclusions:

  • The single Z-plasty technique offers a simple and effective solution for lateral canthal webs.
  • This method is robust and easily integrated into cosmetic surgical practices.
  • It addresses a common blepharoplasty complication with high success rates.