THE PURPOSE of this communication is to introduce a modification of the medial canthoplasty procedure previously described by Converse and Smith.1-5 These authors proposed a wire transfixion technique in unilateral and bilateral canthoplasties for naso-orbital fractures. This procedure was also used in conjunction with dacryocystorhinostomies, whenever indicated. In addition, it was successfully employed in the correction of congenital telecanthus.
At this point it may be well to define this term as used by J. O. Mustardé:
Telecanthus, which is defined as increased breadth between the medial canthi, must be carefully distinguished from hypertelorism, which is increased breadth between the eyes, as measured by increased interpupillary distance. In the latter condition, the most significant clinical symptom is the increased separation of the eyes, and the most important radiological observation is the excessive breadth of the naso-ethmoid region and intraorbital width. In telecanthus, on the other hand, the medial canthi may