Surgical approach in a rare case of coloboma-choristoma.
Embryogenic eyelid defects can be isolated or associated with malformative diseases, such as Tessier craniofacial clefts. We describe the exceptional coexistence of upper eyelid coloboma and lower eyelid dermolipoma in a 45-day-old infant with a Tessier no. 0-1 cleft. The surgical intervention carried out on this patient, which used a flap of subconjunctival choristoma and grafting of reshaped cutaneous and tarsal portions of a preauricular anlage, is presented as a technique for correcting congenital palpebral coloboma. Adoption of this technique allowed virtually complete repair of the defect and gave an acceptable functional and cosmetic result.
Spano
Andrea
A
Department of Plastic and Reconstructive Surgery, Istituto Nazionale per lo Studio e la Cura dei Tumori, Milan, Italy. andreaspano@aliceposta.it
Piozzi
Elena
E
Cavallini
Maurizio
M
Baruffaldi-Preis
W Franz
WF
Buscarini
Alessia
A
Foschi
Diego
D
Trabucchi
Emilio
E
D000015:Abnormalities, Multiple / Q000601:surgery; D002828:Choristoma / Q000151:congenital / Q000601:surgery*; D003103:Coloboma / Q000601:surgery*; D003228:Conjunctiva; D005141:Eyelid Diseases / Q000601:surgery*; D005143:Eyelids / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant