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Correction of Congenital Telecanthus by Extended Medial Epicanthoplasty With Skin Redraping Method

Choi, Jong-Woo, MD, PhD*; Gaxiola-García, Miguel Angel, MD; Kang, Min-Kyu, MD*; Kim, Sung-Chan, MD; Jeong, Woo Shik, MD*; Koh, Kyung S., MD, PhD*

doi: 10.1097/SAP.0000000000001758
Head and Neck Surgery
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Background Recently, skin-redraping medial epicanthoplasty has emerged as an extremely effective way to minimize the resultant scar. We found that the novel skin-redraping medial epicanthoplasty technique, which has been applied to aesthetic surgery, could also be suitable for the correction of congenital epicanthus and telecanthus.

Methods We retrospectively identified patients who had an epicanthoplasty from December 2007 to August 2017. Among 47 patients, we identified 19 cases with congenital pathologies (nonaesthetic cases). Overall, 7 patients with at least 2 anthropometric measurements were selected.

Results There was a mean presurgical intercanthal distance of 35.85 mm (range, 24–52 mm) and a mean intercanthal distance of 26.85 mm (range, 17–36 mm) with a mean difference of 9 mm following postsurgical revision. To better categorize this difference, statistical analysis was conducted using a paired t test, which showed a significant result with P = 0.008.

Conclusions Our results revealed that the skin-redraping medial epicanthoplasty technique could be a better option even in the reconstruction of congenital telecanthus as well as aesthetic plastic surgery. It could correct mild to severe telecanthus and minimize scar formation.

From the *Department of Plastic and Reconstructive Surgery, University of Ulsan College of Medicine, Seoul Asan Medical Center, Seoul, Korea;

Plastic and Reconstructive Surgery Department, Centro Médico Nacional 20 de Noviembre Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, México City, México; and

Woori Plastic Surgery Clinic, Seoul, Korea.

Received June 19, 2018, and accepted for publication, after revision October 17, 2018.

This article was presented at The 8th R&R Forum of KSPRS in Jeonju, South Korea; April 19, 2018.

Conflicts of interest and sources of funding: none declared.

Reprints: Jong-Woo Choi, MD, PhD, Department of Plastic and Reconstructive Surgery, University of Ulsan College of Medicine, Seoul Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Republic of Korea. E-mail: pschoi@amc.seoul.kr.

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