title: Congenital orbital teratoma.
abstract: We present a case of mature congenital orbital teratoma managed with lid-sparing exenteration and dermis fat graft. This is a case report on the management of congenital orbital teratoma. A full-term baby was born in Fiji with prolapsed right globe which was surrounded by a nonpulsatile, cystic mass. Clinical and imaging features were consistent with congenital orbital teratoma. Due to limited surgical expertise, the patient was transferred to Adelaide, Australia for further management. The patient underwent a lid-sparing exenteration with frozen section control of the apical margin. A dermis fat graft from the groin was placed beneath the lid skin to provide volume. Histopathology revealed mature tissues from each of the three germ cell layers which confirmed the diagnosis of mature teratoma. We describe the successful use of demis fat graft in socket reconstruction following lid-sparing exenteration for congenital orbital teratoma.
authors.affiliation: Pacific Eye Institute, Suva, Fiji.
authors.forename: Shereen
authors.initials: S
authors.lastname: Aiyub
authors.forename: Wengonn
authors.initials: W
authors.lastname: Chan
authors.forename: John
authors.initials: J
authors.lastname: Szetu
authors.forename: Laurence J
authors.initials: LJ
authors.lastname: Sullivan
authors.forename: John
authors.initials: J
authors.lastname: Pater
authors.forename: Peter
authors.initials: P
authors.lastname: Cooper
authors.forename: Dinesh
authors.initials: D
authors.lastname: Selva
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D009918:Orbital Neoplasms / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D013724:Teratoma / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed