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Lateral Canthoplasty Using Lateral Cantotomy and Y-V Advancement  

Han, Byung Kee (Department of Plastic and Reconstructive Surgery, Bundang CHA General Hospital, College of Medicine, Pochon CHA University)
Jung, Hyun Seok (Department of Plastic and Reconstructive Surgery, Bundang CHA General Hospital, College of Medicine, Pochon CHA University)
Publication Information
Archives of Plastic Surgery / v.34, no.5, 2007 , pp. 641-646 More about this Journal
Abstract
Purpose: Lateral canthoplasty is utilized in aesthetic surgery to lengthen the lateral palpebral fissure of the lateral canthal area. However, complication such as recurrence, contour deformity or hypertrophic scar make its results doubtful. Therefore, we developed lateral canthoplasty with lateral canthotomy and Y-V advancement to effectively lengthen the palpebral fissure without recurrence. Methods: A total number of 117 patients were reviewed from March 1991 to April 2005. The operative procedure was lateral canthoplasty with lateral canthotomy and Y-V advancement. To prevent recurrence, we dissected lateral conjunctiva of lower eyelid. The author believes that by this procedure, V flap would be able to advance laterally without tension. Results: We performed lateral canthoplasty in 117 patients. There were no recurrence and patients were satisfied with the results. There were 12 patients who presented with complication. Complication included hypertrophic scar in 4 patients, web formation in 3 patients and over-correction in 5 patients. Conclusion: Lateral canthoplasty with lateral canthotomy and simple Y-V advancement may be used as an effective method to lengthen palpebral fissure without recurrence.
Keywords
Lateral canthoplasty; Canthotomy;
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1 Ortiz-Monasterio F, Rodriguez A: Lateral canthoplasty to change the eye slant. Plast Reconstr Surg 75: 1, 1985   DOI   ScienceOn
2 Flowers RS, Nassif JM, Rubin PA, Hayakawa T, Lehr SK: A key to canthopexy: the tarsal strap. A fresh cadaveric study. Plast Reconstr Surg 116: 1752, 2005   DOI   ScienceOn
3 Faigen S: Algorithm for canthoplasty: the lateral retinacular suspension: a simplified suture canthopexy. Plast Reconstr Surg 103: 2042, 1999   DOI
4 Baek BS, Park DH: Cosmetic and reconstructive oculoplastic surgery. Seoul, Gunja Publishing Co., 1998, P 158
5 Kang IS: Plastic Surgery. 3rd ed, Seoul, Gunja Publishing Co., 2004, P 895
6 Whitaker LA: Selective alteration of palpebral fissure form by lateral canthopexy. Plast Reconstr Surg 74: 611, 1984   DOI   ScienceOn
7 Shin YH, Hwang K: Cosmetic lateral canthoplasty. Aesthetic Plast Surg 28: 317, 2004   DOI   ScienceOn