Medial and Lateral Canthi

Lesion on canthi are really challenging because to maintain their shape and integrity is of utmost importance. This patient had melonona which was widely excised and split thickness skin graft was done with good functional and cosmetic restoration.

Traumatic Distortion

Surgical repair depends on extent of laceration. Layer to layer repair with proper securing of the tissues is mandatory to get good final result. In most of the cases where tissue loss is there, skin grafting becomes inevitable. In addition, if lacrimal canaliculus is torned, its anastomosis must be done.

Telecanthus

When medial canthus is shifted laterally from its original position, the condition is called telecanthus. It is one of the feature of Blepharophimosis syndrome and post traumatic malunion of facial bones. It is corrected by trans-nasal wiring with Mustarde's telecanthal reconstruction.

Epicanthus

Shifting of canthi upwards after trauma and epicanthal fold as a feature of Blepharophimosis syndrome. It is corrected surgically and repositioned at its proper place.

Distortion Secondary to Post Surgical Scaring

After primary surgical repair in some cases scar retracts that causes distortion of the canthus and medial parts of lids. It requires skin grafting to correct this ditortion.