Comparison with Endoscopic DCR and External DCR Endoscopic DCR External DCR Scar No Yes Bleeding Less More Duration Less More Risk of injury to medial Less More canthus
structure Postoperative morbidity No Yes
The mean width of the central incisors measured mesiodistally in our study is in harmony with the measurements of Scandrett et al9, conversely, the measurements were less compared to the investigations reported by Woodhead10 and Cesario et al.11 The measurement of the width between the medial canthus
were comparable to the findings of Freihofer12 but was less to the values reported by Abdullah et at13 and Murphy and Laskin14 and greater than that reported by Laestadius et al.15
Clinical examination revealed an otherwise normal baby weighing 3 kg with a tubular fleshy structure measuring about 3 cm in the medial canthus
of the left eye and cleft of the left upper lip, alveolus, and primary and secondary palates (Figure 1).
A 75-year-old male, retired personnel, presented with complaints of swelling at medial canthus
of the left eye of one-year duration associated with pain, ocular discharge, redness, and watering.
At the 2[sup]nd month, the eyeball movement was reached the outer canthus
while turning outward.
The operative procedure starts with an incision at the border between the nasal sidewall and the cheek from the medial canthus
to nasal ala.
The inclusion criteria: 1.- Without lacrimation, dry eye and other ocular discomforts; 2.- The tear secretion was normal; 3.- The slit lamp examination exhibited no abnormality of punctal shape and position, conjunctivochalasis, hypertrophy of lacrimal caruncle and anterior segment inflammation, etc.; 4.- Without abnormality of eyelid medial canthus
and eyelid- related diseases; 5.- Without previous surgery and trauma history in the ocular region, head and face.
In the periocular region, BCC occurs most often in the lower eyelid, followed by the inner canthus
, upper eyelid and outer canthus
Formal surgical repair of the area is not always necessary to restore functional integrity and provide a cosmetically acceptable outcome; the 'laissez-faire' approach, where no attempt to surgically close the defect may be acceptable for smaller defects, particularly those at the lateral canthus
. The wound will usually heal within a few weeks with minimal sequelae but, used injudiciously, it may result in cicatricial ectropion (scar-induced everted eyelid) resulting in a watering eye, lagophthalmos, corneal exposure or medial canthal 'webbing.' Formal surgical reconstruction is, therefore, frequently required, utilising flaps of mobilised healthy tissue adjacent to the area of excision to repair the defect.
The upper eyelid, lower eyelid, and lateral canthus
were infiltrated with local anesthesia, and a 5-0 polyglactin suture was then passed through the upper eyelid margin to aid upper eyelid eversion with a cotton-tipped applicator.
These landmarks were the comissural abiorum, tragus, lateral canthus
(1,7) Despite this, actual bony involvement occurs in less than one-third of dermoid cysts, and this is found more commonly in deep dermoids located intraorbitally or at the lateral canthus
. (1,4) Other findings include rim calcification in most cases, presence of a fluid level, and ipsilateral orbital fat congestion, though less than 50% of orbital dermoids exhibit fat within the lesion.
Thermal images of the inner canthus
of their eye and middle finger nail bed, representing core and peripheral temperatures, respectively, were taken at baseline, 1st, and 2nd hour.
The sclera of the left eye was moderately hyperemic at the medial canthus
; mild epiphora was present.
Mucopumlent discharge noted from the inner canthus
of the right eye.