VT136 : Transnasal wiring for correction of telecanthus in Blepharophimosis syndrome

Dr.Shaloo Bageja, Dr.Ashok Kumar Grover

This video presents the surgical technique for the correction of telecanthus and epicanthus inversus in patients with Blepharophimosis Syndrome. The surgical technique comprises use of Y-V plasty and trans-nasal wiring through moderately large bony windows prepared in the lacrimal fossa. A trans-nasal 24 G stainless steel wire is passed through the medial canthal tendon by the author’s technique using a bent hypodermic needle which obviates the need for swaged wires. The trans-nasal wiring is carried out using a Fascia Lata needle. Trans-nasal wiring provides lasting correction of telecanthus with deep natural looking placement of medial canthus . Video brings out the finer points in creation of the bony opening which prevents epiphora and provides gratifyimg results.