Month: September 2016

Bridge of Bone Canthopexy

30, September, 2016

Bridge of bone canthopexy has utility when significant movements of canthal position are required. It is a technique whereby the lateral canthal structures are purchased with a figure-of-eight suture of titanium wire. Drill holes are placed in the lateral orbital rim using the zygomaticofrontal sutures as reference landmarks. A canthal fixation point (the inferior drill […]


Microfixation of Acute Orbital Fractures

23, September, 2016

Microfixation techniques were used as an adjunct to the use of miniplates and screws in the acute treatment of fractures involving the orbit in 42 patients over a 2-year period. Miniplates were used in all fractures at the Le Fort I level and at the zygomatic- frontal suture in high-energy injuries. Microfixation was used to […]


Restoring Palpebral Fissure Shape after Previous Lower Blepharoplasty

16, September, 2016

The youthful palpebral fissure can be described as long and narrow. Both the aging process and transcutaneous lower blepharoplasty can cause descent of the lower lid margin and medial migration of the lateral cantlnis, resulting in a rounding of the palpebral fissure. This article presents a technique to correct significant postsurgical lower lid malposition and […]


Facial Skeletal Reconstruction Using Porous Polyethylene Implants

09, September, 2016

A retrospective review of clinical outcomes was performed to determine the clinical utility and morbidity associated with the use of porous polyethylene facial implants. Three hundred seventy implants were placed in 162 consecutive patients, in 178 operations performed in 11 years. The number of patients, the number of implants used, and the average follow-up period […]


Complex Orbital Fracture Repair Using Rigid Fixation of the Internal Orbital Skeleton

02, September, 2016

Large orbital fractures involving more than one orbital wall are frequently associated with enophthalmos and vertical globe dystopia. The authors repaired 22 orbits in 20 patients using the technique of rigid fixation of the internal orbital skeleton. Eleven orbits were reconstructed with titanium or vitallium implants that were custom-shaped to span the bony defect and […]