Division of Plastic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Division of Neurosurgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Cleft Palate Craniofac J. 2023 Oct;60(10):1331-1336. doi: 10.1177/10556656221096323. Epub 2022 Apr 27.
Proboscis lateralis is a rare craniofacial anomaly in which a rudimentary nasal appendage arises at the medial canthal area. The severity depends on organ involvement, including eyes, nose, cleft lip/palate, and/or concomitant intracranial anomalies. Here, we present a child with proboscis lateralis and associated trans-ethmoidal encephalocele. We suggest doing the preoperative CT and/or MRI to rule out associated intracranial anomalies and reliably preoperative planning tools. Moreover, we proposed an alternative nasal reconstructive technique using a composite graft from the proboscis mass at the same time as encephalocele repair with promising results.
外侧鼻突是一种罕见的颅面畸形,在这种畸形中,一个未成熟的鼻附属物出现在内眦区域。其严重程度取决于器官受累情况,包括眼睛、鼻子、唇裂/腭裂和/或伴发的颅内异常。在这里,我们介绍了一例外侧鼻突伴发经筛窦脑膨出的患儿。我们建议在术前进行 CT 和/或 MRI 检查,以排除伴发的颅内异常,并提供可靠的术前规划工具。此外,我们提出了一种使用来自鼻突肿块的复合移植物进行鼻重建的替代技术,同时进行脑膨出修复,取得了良好的效果。