[Skip to Navigation]
December 1992

Medial Canthoplasty With Microplate Fixation

Author Affiliations

From the Department of Ophthalmology, Medical University of South Carolina, Charleston (Dr Howard); the Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City (Dr Nerad); and the Department of Ophthalmology, University of Cincinnati (Ohio) Medical Center (Dr Kersten). The authors have no proprietary interest in any product mentioned in this article.

Arch Ophthalmol. 1992;110(12):1793-1797. doi:10.1001/archopht.1992.01080240133046

• Six patients with malpositioned or surgically excised medial canthal tendons underwent repair with titanium microplate, and two patients underwent repair with titanium miniplate fixation. The T-shaped rigid fixation plates were chosen for medial canthal reconstruction to allow for stabilization of the plate along the anterior lacrimal crest and extension of the plate over the posterior lacrimal crest. The medial canthal tissue was reattached to the titanium plate with 3.0 polypropylene (Prolene) suture. This technique appears to be safer, faster, and, in many cases, more effective than traditional techniques for reconstruction of the medial canthus after tendon avulsion or loss from excision of cutaneous carcinoma.