Medial Canthal Tendon Reflecting in Lower Eyelid Reconstruction After Palpebral Cancer Surgery: Description of a New Technique

Abstract

Purpose: The aim of this article is to describe a new reconstructive technique of the lower eyelid in the surgery of tumors involving the medial canthal tendon. Methods: Our new technique consists of detaching and reflecting the most medial portion of the anterior medial canthal tendon and reinserting it into the posterior lamella. We describe the cases in which our technique can be useful, as well as the results we have obtained. Results: The result after a year of follow-up showed no disruption of the angulation of the lower eyelid line and no changes in eyelid position. Conclusions: The medial canthal tendon reflection could provide both aesthetic and functional results that may be superior to the usual techniques.