Department of Ophthalmology, University of California, Davis, Sacramento, CA, USA.
Department of Otolaryngology - Head and Neck Surgery, University of California, Davis, Sacramento, CA, USA.
Cleft Palate Craniofac J. 2021 Oct;58(10):1313-1317. doi: 10.1177/1055665621989129. Epub 2021 Feb 2.
Bilateral Tessier type 4 craniofacial clefts are extremely rare and disfiguring malformations with vision-threatening ramifications. To date, there is no consensus in the literature with respect to the ideal surgical technique and management of these patients. Emergent eyelid reconstruction and additional procedures may be required to protect the cornea and avoid further ophthalmic and surgical complications. We present our experience and challenges of managing a case of bilateral Tessier type 4 clefting with an emphasis on oculoplastic considerations.
双侧泰斯里 4 型颅面裂是一种极其罕见且具有毁容性的畸形,可导致视力威胁。迄今为止,文献中尚无关于此类患者理想手术技术和管理的共识。可能需要紧急进行眼睑重建和其他手术来保护角膜并避免进一步的眼科和手术并发症。我们介绍了我们在处理双侧泰斯里 4 型裂畸形方面的经验和挑战,重点介绍眼整形方面的考虑因素。