Question: An 18 year old male is involved in an ATV accident and sustains a Markowitz type 3 naso-orbito-ethmoid midfacial fracture. The facial plastic surgeon discusses transnasal wiring with you and emphasizes the importance of medializing the medial canthal tendon. What are the three attachments of the medial canthal tendon?

a) Nasal bone, anterior lacrimal crest, lacrimal sac

b) Palatine bone, lacrimal bone, tarsus

c) Maxillary bone, lacrimal sac, posterior lacrimal crest

d) Eyelid margin, posterior lacrimal crest, nasal bone

[Answer will be posted with next week's new question]

Answer to last week's question, “Deeper Meaning" (August 26, 2019)

D - Biopsy (to rule out recurrent carcinoma).