Pendular eyelid flap: a novel technique for the management of extensive congenital upper lid colobomas.
We present a novel technique for the surgical management of sizeable medial upper eyelid colobomas that entails advancement of an ipsilateral upper lid flap sustained by a levator aponeurosis-Müller-conjunctiva pedicle and combined with a lateral semicircular flap from the affected lid. The technique was used in 4 consecutive pediatric patients of mean age 21.2 months and mean coloboma size 12.3 mm and resulted in sufficient cornea protection, rapid rehabilitation, and satisfying cosmesis.
2nd Department of Ophthalmology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece; Bristol Eye Hospital, Bristol, United Kingdom. Electronic address: nikocha@hotmail.com.
Nikolaos T
NT
Chalvatzis
2nd Department of Ophthalmology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Paraskevi
P
Riga
2nd Department of Ophthalmology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Argyrios
A
Tzamalis
2nd Department of Ophthalmology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Asimina
A
Mataftsi
D019882:Blepharoplasty / Q000379:methods*; D002675:Child, Preschool; D003103:Coloboma / Q000601:surgery*; D005143:Eyelids / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D013536:Suture Techniques