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Canthal Reconstruction

Synonyms:

Medial and/or lateral canthal reconstruction

 

Definition:

Reconstruction of the medial and/or lateral canthal structures

 

Indication:

Canthal reconstruction is utilized for defects arising from cancer resection surgery (including Mohs surgery), trauma, involutional changes, or congenital deformities in the medial and/or lateral canthus.  The goals of canthal reconstruction include recreation of a stable canthus with adequate eyelid support while maximizing cosmesis and symmetry.

 

Contraindication:

Patients with significant trauma to the canthal regions should be evaluated for other injuries whose repair would take precedence, such as a ruptured globe.  Incisions utilized in canthal reconstruction can result in scarring of the canthal region and possible rounding or phimosis of the canthal angle.

 

Techniques and principles:

Techniques for canthal reconstruction are dictated by the extent of the defect and the structures involved.

 

Medial