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Canthus

From Wikipedia, the free encyclopedia
Corner of the eye where the upper and lower eyelids meet

For other uses, seeCanthus (disambiguation).
Canthus
Front of left eye with eyelids separated to show medial canthus.
Identifiers
FMA59222
Anatomical terminology

Thecanthus (pl.:canthi,palpebral commissures) is either corner of theeye where the upper and lowereyelids meet.[1] More specifically, the inner and outer canthi are, respectively, the medial and lateral ends/angles of thepalpebral fissure.

Thebicanthal plane is thetransversal plane linking both canthi and defines the upper boundary of themidface.

Etymology

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The wordcanthus is theLatinized form of theAncient Greekκανθός (kanthós), meaning 'corner of the eye'.

Population distribution

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Theeyes ofEast Asian and someSoutheast Asian people tend to have the inner canthus veiled by theepicanthus. In theCaucasian or double eyelid, the inner corner tends to be exposed completely.[2]

Commissures

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  • Thelateral palpebralcommissure (commissura palpebrarum lateralis; external canthus) is more acute than the medial, and the eyelids here lie in close contact with the bulb of the eye.
  • Themedial palpebral commissure (commissura palpebrarum medialis; internal canthus) is prolonged for a short distance toward thenose, and the two eyelids are separated by a triangular space, the lacus lacrimalis.

Surgery

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Cutting lateral canthus

Canthoplasty refers to a plastic surgery of the medial and/or lateral canthus. This technique is common in cosmetic procedures, as well as procedures that address eyelid function or malposition.[3]

Acanthotomy involves cutting the canthus, often performed to release excessive orbital pressure (i.e., from orbital hemorrhage or infection).[4]

The two canthi of each eye (medial and lateral, that is, inner and outer) are represented incephalometric analysis by the endocanthion and exocanthion landmarks (single points representing the point of each commissural angle).

Pathology

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Telecanthus, or dystopia canthorum, is a lateral displacement of the inner canthi of the eyes, giving an appearance of a widenednasal bridge.[5] It is associated withWaardenburg syndrome, which is due to mutation in PAX gene.[6]

See also

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References

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  1. ^"canthus" atDorland's Medical Dictionary
  2. ^Bongsik Kwon, Anh H. Nguyen:Reconsideration of the Epicanthus: Evolution of the Eyelid and the Devolutional Concept of Asian Blepharoplasty Semin Plast Surg. 2015 Aug; 29(3): 171–183.doi:10.1055/s-0035-1556849,PMC 4536067
  3. ^Taban, Mehryar R. (2010)."Aesthetic Lateral Canthoplasty"(PDF).Ophthalmic Plastic & Reconstructive Surgery.26 (3):190–194.doi:10.1097/IOP.0b013e3181baa23f.PMID 20489545 – via Stackpath.
  4. ^Nagelhout, John J.; Plaus, Karen (2009). "Chapter 40. Anesthesia For Ophthalmic Procedures".Nurse Anesthesia. Elsevier Health Sciences. p. 963.ISBN 9780323081016. Retrieved24 March 2023 – viaGoogle Books.Canthotomy is a procedure performed to increase the orbital space by cutting the lateral canthus. This procedure reduces the orbital pressure that results from a retrobulbar hemorrhage.
  5. ^Genetic Hearing LossArchived 2013-02-17 at theWayback Machine from UTMB, Dept. of Otolaryngology, March 17, 2004. Resident physician: Jing Shen, faculty physician: Ronald W. Deskin, MD, series editors: Francis B. Quinn, Jr., MD and Matthew W. Ryan, MD.
  6. ^Tagra S, Talwar AK, Walia RL, Sidhu P (2006)."Waardenburg syndrome".Indian J Dermatol Venereol Leprol.72 (4): 326.doi:10.4103/0378-6323.26718.PMID 16880590.

External links

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Theorbit of theeye
Bones
Muscles
Eyelid
Lacrimal apparatus
Other
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