A new technique for medial canthal tendon fixation.

Traumas resulting from naso-orbitoethmoidal fractures and tumor surgery of the medial canthal region may cause orbital dystopia. A variety of techniques with many disadvantages, such as detachment and high cost, has been described for reattachment of medial canthal tendon. We present a new technique, namely, unitransnasal canthoplasty, which is easy to apply, cheap, and reliable. Two nonabsorbable sutures were passed through 2 drill holes to the nasal cavity, taken out from the nasal ostium, and were tied up. Upper and lower eyelids were fixed to the ipsilateral nasal bone.