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External dacryocystorhinostomy and transnasal canthopexy: new details of combined surgery.
Ophthalmic Plast Reconstr Surg
October 2014
*Ophthalmology Department, Oculoplastic Surgery Unit, Ramón y Cajal Universitary Hospital; †Ophthalmology Department. Oculoplastic Surgery Unit, La Princesa Universitary Hospital; ‡Oculoplastic Surgery Unit, Clinica Rementeria; and §Maxilofacial Surgery, Clinica Colmenero, Madrid, Spain.
Purpose: To describe the authors' modified combined surgical technique for external dacryocystorhinostomy and transnasal canthopexy.
Methods: A retrospective medical record review was performed including patients with late posttraumatic telecanthus and nasolacrimal duct obstruction treated by their combined dacryocystorhinostomy-transnasal canthopexy technique. In this technique, the bony window is extended superiorly and posteriorly further than in standard dacryocystorhinostomy, to allow pulling the canthus though the window, but at the same time not disturbing the suture of the dacryocystorhinostomy anastomosis.