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Periosteal pennant lateral canthoplasty.

J L Marsh, M T Edgerton

Plastic and Reconstructive Surgery

|July 1, 1979

Summary

This study introduces a periosteal pennant technique for lateral canthoplasty, effectively correcting eyelid position. This method has shown reliable, long-term results in over 50 cases, avoiding the need for revision surgery.

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Area of Science:

Ophthalmology
Plastic Surgery
Surgical Techniques

Background:

Lateral canthoplasty is a surgical procedure to correct eyelid abnormalities.
Maintaining the correct axis of the palpebral fissure and lateral canthus position is crucial for aesthetic and functional outcomes.
Existing techniques may sometimes require secondary correction.

Purpose of the Study:

To describe a novel periosteal pennant method for primary lateral canthoplasty.
To evaluate the efficacy of this technique in achieving stable surgical correction.
To assess the need for secondary corrective procedures.

Main Methods:

A periosteal pennant technique was developed and utilized for primary lateral canthoplasty.
The method involves specific surgical steps to anchor the periosteum for canthus support.
The procedure was performed on over 50 patients.

Main Results:

The periosteal pennant method effectively corrected the axis of the palpebral fissure.
Stable positioning of the lateral canthus was consistently achieved.
No secondary corrective surgeries were required in any of the cases.

Conclusions:

The periosteal pennant method is a reliable and effective technique for primary lateral canthoplasty.
This approach offers durable correction of the palpebral fissure axis and lateral canthus.
The technique minimizes the need for revision surgery, improving patient outcomes.

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