We would like to congratulate the authors for their extensive study on cadavers and patients, describing a modified approach to the method of Beat Hammer, used for medial canthopexy. They break a lance for omitting the need to use transnasal owls and putting the other orbit at risk. However, a coronal approach is still needed.
This is a major procedure with respect to the need to approach the anterior part of the medial orbital wall for a medial canthopexy. We draw attention to a reference to the technique described by Wittkampf and Mourits in this journal in 2001 that was missed. This technique, which uses an ipsilateral miniplate fixation of the medial canthus, has all the advantages of avoiding the risk of damaging the contralateral side and omits the use of a coronal approach. However, a skin incision is still needed. The authors use a small Lynch incision or a medial upper blepharoplasty incision, which leaves a minor and in most cases inconspicuous scar.