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March 15, 2026Journal of Craniofacial Surgery

Lateral Canthoplasty and Vertical Palpebral Fissure Enlargement for the Correction of Orbicularis Oculi Muscle Contracture in Facial Palsy

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Authors

JKJeeyoon KimJCJihyoung ChangJSJongweon Shin

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Overview

Case report demonstrates successful palpebral fissure enlargement in facial palsy, suggesting effective surgical intervention for ocular symmetry.

Key Points

  • To explore surgical options for correcting periocular asymmetry due to orbicularis oculi muscle contracture in facial palsy.
  • Report of a case involving an 81-year-old woman with unilateral facial palsy.
  • Treatment included lateral canthotomy, lateral canthoplasty, and posterior lamellar shortening.
  • Follow-up assessment of ocular dimensions and symmetry.
  • Significant improvement in palpebral fissure width and margin reflex distance after surgery.
  • Enhanced exposure of medial and lateral scleral triangles.
  • Overall ocular symmetry was achieved after a year.

Cite This Study

Kim et al. (2026) studied this question.

synapsesocial.com/papers/69b5ff5c83145bc643d1bca1https://doi.org/10.1097/scs.0000000000012603
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cosmetic Lateral Canthoplasty: Preserving the Lateral Canthal Angle2016 · 17 citations
  2. 2The Effective Fixation Level for Cosmetic Lateral Canthoplasty2019 · 1 citations
  3. 3Vertical Enlargement of the Palpebral Aperture by Static Shortening of the Anterior and Posterior Lamellae of the Lower Eyelid: A Cosmetic Option for Asian Eyelids2011 · 12 citations