Chapter
5:
Canthal
Surgery
|
Chapter
5: |
|
Treacher Collins Syndrome Canthal Surgery
Treacher Collins Syndrome
|
Many congenital and acquired deformities are associated with medial and
lateral canthal displacement. Patients with blepharophimosis (telecanthus,
epicanthal folds, ptosis), hypertelorism, Down's Syndrome, craniofacial
sysostosis, and acquired deformities may all have canthal deformities.
Evaluation of the position and shape of the canthal area is a necessity
in the planning of all orbital surgery. The contour and position of the
canthi are important components in the aesthetic balance and symmetry of
the face.
Canthal surgery essentially consists of repositioning the involved canthal tendon to the desired position and securing it to the bone. This would seem to be a simple, straight-forward procedure. However, because of the complex anatomy of the medial canthal area and the difficulty in obtaining normal, symmetrical soft tissue contours, this procedure is neither as easy nor as predictable as it would appear to be. Attention to surgical technique, soft tissue tension and contour, bone mobilization and position, and healing of the tendon to bone - all are important in the ultimate results of canthal surgery.
The Tennessee Craniofacial
Center, part of the Erlanger Health System, is located in Chattanooga,
Tennessee. The Center, led Larry A. Sargent, M.D., specializes in the
evaluation and treatment of patients of all ages with craniofacial deformities.
Location:
975 East Third Street. Chattanooga, Tennessee 37403
|
||||||||||||||
