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Medial canthus repositioning in severe traumatic conditions with “Micro quickanchor” Congress of European Society of Ophthalmology 8-11 June 2013 Copenhagen E. Mancel Salino *, J. F. Hervé** * Ophthalmology Department, ** ENT and Maxillofacial Department Centre Hospitalier Territorial de Nouméa New Caledonia Canthus repositioning can be a challenge in severe traumatic conditions Patient T has total avulsion of inferior eyelid, with synechiae of the lateral half of the superior eyelid and the inferior edge of the wound. Patient H has inferior cicatricial ectropion plus inferior and lateral migration of medial canthus of 1 cm We used Microquikanchor to reposition the canthi Micro quikanchor is used with a 1,3 x 5,0 mm drill to anchor the remining tarsal plate (patient H) or the auricular cartilage graft (patient T) to the orbital rim to reposition the canthi during the palpebral reconstruction. It is more simple and quicker than transnasal wire, and very precise for positionning. Patient H: excision of the dense contracted scar from the cheek to the entire medial canthus followed by Z-plasty, then medial canthoplasty with fixation of upper and lower tarsal plates to the Micro quickanchor on the anterior lacrymal crest. During surgery: medial refixation of both tarsal plates to the anterior lacrymal crest with the Micro quickanchor Result at 1 day post-operatively, with decrease of the traumatic telecanthus. Patient T had an excision of the external palpebral synechiae, then the auricular graft was sutured medially with the microanckor to the anterior edge of the lacrymal crest and temporally to a periostium lambeau with gore tex 4/0. Last a cutaneous graft covered the auricular graft. During surgery: strong medial fixation of the auricular graft with the Micro quickanchor • Result at 1 day post-operatively, with good esthetic result due to stable and precise canthoplasty. micro Disclosure statement: The authors have nothing to disclose The authors thank: Dominique SALINO, Grégory DELEENS, Marc FERMAUT.