Villarreal-Reyes LA, Alanís-Garza EJ, Rosales-Bañuelos FM, Maldonado-Aparicio J, Zúñiga-Domínguez A

Language: Spanish
References: 15
Page: 62-66
PDF size: 335.87 Kb.

ABSTRACT

Eyelid reconstruction is a crucial issue in ocular plastic surgery as it has both a functional and an aesthetic impact on patients. Palpebral coloboma is a congenital anomaly characterized by defective closure during embryonic development. It can affect the upper eyelid and is more common in the middle portion. Furthermore, it is associated with craniofacial malformations and can have serious implications for vision and eye preservation. We present the case of a 4-year-old boy with a unilateral coloboma comprising 70% of the left upper eyelid. A two-stage surgery using a lower eyelid flap was performed to achieve optimal functional and aesthetic outcomes. The patient had an uneventful postoperative and was later referred to Medical Genetics for a chromosome study. It is important to approach each case of eyelid reconstruction individually, considering the patient's age, the tissues involved, and the percentage of the eyelid affected. The appropriate choice of surgical techniques, such as the Mustardé rotational flap, can preserve eyelid anatomy; but, potential complications must be considered, especially in pediatric patients.

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