Lelli Gary J, Maher Elizabeth A, Milite James P, Dyleski Robin
Division of Ophthalmic Plastic and Reconstructive Surgery, Weill Cornell Department of Ophthalmology, New York Presbyterian Hospital, New York, New York, USA.
Ophthalmic Plast Reconstr Surg. 2008 Nov-Dec;24(6):499-501. doi: 10.1097/IOP.0b013e31818b6e57.
An otherwise healthy 1-month-old female infant presented with a congenital nasal appendage in the left medial canthal region with associated left-sided nasal hypoplasia. The diagnosis of proboscis lateralis was made, and a 2-stage excision and reconstruction was performed in conjunction with probing and irrigation of the lacrimal system. The patient had markedly abnormal nasal anatomy, but a patent lower canalicular system with anomalous entry in the nose and a distally stenotic upper canalicular system on the affected side. A case report and review of proboscis lateralis is provided, as treatment of this rare congenital malformation should be multidisciplinary and necessitates an informed oculoplastic surgeon or ophthalmologist's assistance.
一名原本健康的1个月大女婴，左侧内眦区域有先天性鼻附属器，并伴有左侧鼻发育不全。诊断为侧鼻吻状畸形，并进行了两阶段切除和重建，同时对泪道系统进行了探查和冲洗。患者鼻腔解剖结构明显异常，但患侧下泪小管系统通畅，泪小管在鼻内的开口异常，上泪小管系统远端狭窄。本文提供了一例侧鼻吻状畸形的病例报告及文献复习，因为这种罕见的先天性畸形的治疗应是多学科的，并且需要有经验的眼整形医生或眼科医生的协助。
