Making a malleable awl using a Steinmann pin for transnasal medial canthopexy.

PURPOSE: The authors designed a malleable awl using a Steinmann pin for transnasal medial canthopexy.

METHODS

A Steinmann pin with a small eye at the end (00-0187-001-69, Zimmer Inc., Warsaw, IN, U.S.A.) was prepared, and its distal part was bent using pliers (01-9726, Walter Lorenz Surgical Inc., Jacksonville, FL, U.S.A.) to make it a semicircle with the diameter of the circle being the intercanthal distance of the patient.

RESULTS

Transnasal medial canthopexy was performed for 5 patients with telecanthus. All 5 patients had satisfactory results.

CONCLUSIONS

This malleable awl might allow easy, safe, and stable fixation of the tendon, permit a safe approach with minimal bone fenestration, and be cost effective.