# Open book technique for conjunctival tumors: a surgical approach to the fornix

## TL;DR

This paper introduces a new surgical technique for removing large conjunctival tumors by improving access and visibility during the procedure.

## Contribution

The open book technique is presented as a novel surgical approach for managing conjunctival tumors involving the fornix.

## Key findings

- The open book technique provides a wide surgical field for excising large conjunctival tumors.
- Fornix reconstruction was successfully facilitated using this approach in four patients.
- One patient experienced lateral canthus dehiscence as a complication.

## Abstract

Surgical management of large tumors involving the conjunctival fornix can be
challenging, as exposure and clear margins may be difficult to achieve. In this
case series, we report our initial experience with the open book technique in 4
patients. Through a canthotomy and cantholysis, this surgical approach provides
a wide surgical field and facilitates fornix reconstruction post large tumor
excision. In our series, one patient had a lateral canthus dehiscence.