Methods  This is a retrospective, clinical case series of 38 patients (38 eyes) who sustained the meidal canthal deformity after kinds of truama. 31 of them were corrected just by microscrews, 4 by additional titanium microplates because of the lack of stable bone, and the other 3 recurrent cases by autologous fascia lata graft combined with the methods mentioned above.

Results  All the 38 cases had significant improved appearances immediately after operation. During 9～18 months follow-up, stable effect was achieved in 34 cases（84.2%）. The displacement distance of the affected medical canthus was less than or equal to 2mm in 30 cases, about 3mm in 4 cases. Recurrence of the deformity occurred in 4 cases about 3 months after the surgery, and 3 of them were re-corrected satisfactorily with the final displacement distance less than 4mm.

Conclusion  According to different condition, suitable screw-and-plate fixation could achieve satisfied results. This approach was proven effective in restoring the normal facial appearance.