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To study the feasibility of osseous medial canthal fixation for severe medial ectropion. Retrospective analysis over a period of 3 years identified 10 patients who had undergone the modified medial canthoplasty. Outcome measures were based on the presence of complications and cosmetic/functional results. Post-operative evaluations of all patients were significant for excellent functionality and cosmetic results in the medial canthal area following the novel osseous fixation technique. No complications were reported intra-operatively or post-operatively. For repair of severe medial ectropion, especially cicatricial and paralytic ectropion, the modified medial “puncture hole” canthoplasty is an effective alternative to traditional repair techniques and does not necessitate the use of anchoring systems such as wiring or microplates.

Correction of severe medial ectropion using a novel osseous fixation technique