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DOI: 10.1055/s-0035-1555624
Management of Posttraumatic Pseudotelecanthus
Publication History
Publication Date:
30 June 2015 (online)

Abstract
Injuries to the nose and perinasal region are common. Though the nasal fractures are commonly recognized and properly addressed, injuries to adjacent structures such as the orbit, medial canthus, and midface skeleton can be missed or misdiagnosed leading to improper primary treatment and subsequent secondary deformities. In this discussion, we focus on secondary deformities of the medial canthal region injuries that result from inadequate primary repair of the displaced medial canthal tendon apparatus in naso-orbital-ethmoid fractures. Emphasis is placed on the difference in complexity of the secondary pseudotelecanthus deformity relative to primary fracture treatment. Case examples are used to discuss the complexity of the correction of such deformities.
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References
- 1 Markowitz BL, Manson PN, Sargent L , et al. Management of the medial canthal tendon in nasoethmoid orbital fractures: the importance of the central fragment in classification and treatment. Plast Reconstr Surg 1991; 87 (5) 843-853
- 2 Fedok FG. Comprehensive management of nasoethmoid-orbital injuries. J Craniomaxillofac Trauma 1995; 1 (4) 36-48
- 3 Frodel JL. Nasoethmoid fracture repair. In: Bailey BJ, , ed. Head and Neck Surgery – Otolaryngology. Philadelphia, PA: Lippincott-Raven; 1996: 550
- 4 Frodel Jr JL. Avoiding and correcting complications in perinasal trauma. Facial Plast Surg 2012; 28 (3) 323-332
- 5 Frodel JL. Revision of severe nasal trauma. Facial Plast Surg 2012; 28 (4) 454-464
- 6 Wolfe SA. Posttraumatic orbital deformities. In: Plastic Surgery of the Facial Skeleton. Boston/Toronto, MA/Canada: Little, Brown, and Company; 1989: 575-624