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Reconstruction of an Eyelid Defect Associated with Congenital Coloboma in a 7-Month-Old Male Infant Using an Acellular Dermal Allograft.
Cao, Wenhong; Li, Li; Fan, Yunwei; Wang, Yuan; Wu, Qian.
Afiliación
  • Cao W; Department of Ophthalmology, Beijing Children's Hospital Affiliated to Capital Medical University, Beijing, China (mainland).
  • Li L; Department of Ophthalmology, Beijing Children's Hospital Affiliated to Capital Medical University, Beijing, China (mainland).
  • Fan Y; Department of Ophthalmology, Beijing Children's Hospital Affiliated to Capital Medical University, Beijing, China (mainland).
  • Wang Y; Department of Ophthalmology, Beijing Children's Hospital Affiliated to Capital Medical University, Beijing, China (mainland).
  • Wu Q; Department of Ophthalmology, Beijing Children's Hospital Affiliated to Capital Medical University, Beijing, China (mainland).
Am J Case Rep ; 25: e942645, 2024 Feb 10.
Article en En | MEDLINE | ID: mdl-38339775
ABSTRACT
BACKGROUND Congenital eyelid coloboma in children often faces complications such as keratitis, symblepharon, and amblyopia. Repairing defects involving at least 50% of the eyelid margin can be challenging. Acellular dermal allograft (ADA) has achieved excellent results as a substitute in adult eye plastic surgery, with minimal morbidity. This report describes a case of reconstruction of an eyelid defect in a 7-month-old male infant using an ADA. CASE REPORT A 7-month-old male infant was referred due to congenital eyelid coloboma in the left eye, which affected nearly one-half of the upper and lower eyelids medially, with more than 9 mm of lagophthalmos and lacrimal duct malformation inducing dacryocystitis. Under general anesthesia, A U-shaped silicone drainage tube was inserted in the nasolacrimal duct to ensure an unobstructed lacrimal duct. The symblepharon release, pseudopterygium excision, and medial canthus reconstruction were performed sequentially. Then, the upper eyelid defect was repaired through the advancement of the lateral segment of the eyelid, following lateral cantholysis. A trimmed ADA was placed as a substitute for the tarsal plate in the lower eyelid defect area and sutured with the free edge of the retractor. Finally, the lower and lateral skin orbicular muscle flap was advanced to cover the acellular dermis composite graft. The postoperative eyelid morphology was satisfactory. At 6 months after surgery, lower eyelid retraction gradually appeared. CONCLUSIONS ADA is presented as an effective solution for reconstructing significant eyelid defects of infants. However, the potential of postoperative eyelid retraction still deserves future research and refinement in surgical techniques.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Coloboma / Enfermedades de los Párpados / Párpados Tipo de estudio: Risk_factors_studies Límite: Adult / Child / Humans / Infant / Male Idioma: En Revista: Am J Case Rep Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Coloboma / Enfermedades de los Párpados / Párpados Tipo de estudio: Risk_factors_studies Límite: Adult / Child / Humans / Infant / Male Idioma: En Revista: Am J Case Rep Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos