Abstract ID: 26-472
Repair of traumatic telecanthus with a modified patient specific floor implant (PSI)
Author: Vladimir Kratky Base Hospital / Institution: Charles University, Prague, Czech Republic
Presentation Type: ePoster Presentation
Purpose
To describe a new technique of patient specific implant (PSI) modification to correct traumatic telecanthus secondary to a blast wave injury from war-related explosions. This saves time and a separate procedure, as often seen in direct microplating or trans-nasal wiring.
Methods
This is a retrospective case series of war injuries, which were operated on during three separate surgical missions to Ukraine over the years 2024-2026, as part of a charitable organization. A review of the new PSI design along with illustrative cases, photographs and literature review of facial war trauma will be shown.
Results
A summary of 7 cases will be presented with illustrative photographs and clinical history. In all our cases, a successful correction or improvement of traumatic telecanthus was achieved via a lower eyelid incision (either skin or conjunctival) with insertion of the PSI. Of note is that many of these cases did not have the underlying classic NOE fractures as seen in civilian life.
Conclusion
Eye trauma is estimated to account for 20 per cent of all injuries in modern warfare. Due to widespread bombing and shelling in Ukraine, there are many patients with extensive facial injuries including injury to the orbit and eyes. In many cases, traumatic telecanthus is found without the classic association of NOE fractures from blunt physical impact to the midface. This may be related to an altered mechanism of injury from the blast wave trauma seen with war-time explosions.