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Related Experiment Video

Updated: Sep 10, 2025

Ye's Swing Technique for Small-incision Lenticule Extraction Surgery
04:15

Ye's Swing Technique for Small-incision Lenticule Extraction Surgery

Published on: June 27, 2025

118

A Modified Incision Technique Combining the Swinging Eyelid Approach With Lateral Paracanthal Incision.

Ken Yamashita1, Takatoshi Yotsuyanagi, Shinji Kato

  • 1Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan.

The Journal of Craniofacial Surgery
|August 22, 2025
PubMed
Summary
This summary is machine-generated.

A novel eyelid incision technique offers enhanced orbital exposure for tumor resection. This method reduces complications associated with traditional approaches, improving surgical outcomes for infraorbital region diseases.

Keywords:
Eyelidinfraorbital tumorlateral paracanthal incisionswinging eyelid approachtransconjunctival approach

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Area of Science:

  • Ophthalmology
  • Surgical Oncology
  • Plastic Surgery

Background:

  • The transconjunctival approach is common for orbital surgeries but has limited exposure.
  • The swinging eyelid approach with lateral canthotomy expands surgical fields but risks canthus misalignment.
  • Current methods present challenges in achieving adequate exposure while minimizing complications.

Purpose of the Study:

  • To introduce a new transconjunctival incision technique combined with a lateral paracanthal incision.
  • To evaluate the efficacy and safety of this modified approach for orbital tumor resection.
  • To provide a wider surgical field with reduced closure complications.

Main Methods:

  • A novel incision technique involving a swinging eyelid approach with a lateral paracanthal incision was developed.
  • This technique utilizes a small, full-thickness lower eyelid incision to create an eyelid flap.
  • The approach was applied to 5 patients undergoing infraorbital tumor resection.

Main Results:

  • The modified technique provided a reliably large surgical field for tumor resection.
  • No wound closure issues were encountered.
  • No postoperative complications were observed in the patient cohort.

Conclusions:

  • The combined swinging eyelid and lateral paracanthal incision technique is effective for infraorbital region diseases requiring wide surgical exposure.
  • This approach offers a viable alternative to traditional methods, potentially reducing surgical complications.
  • Further studies are warranted to validate its broad applicability in orbital surgery.