Orbital soft tissue surgery for patients with Treacher-Collins or Nager syndrome. A new surgical approach with early correction of soft tissue: prospective study

Franchi, G.; Kadlub, Natacha; Diner, P.A.; Bandini, Marco; Vazquez, M.-P.; Picard, A.

doi:10.1016/j.bjoms.2015.02.004

Cited by 7 publications

(12 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Resultsmentioning

confidence: 99%

“…Techniques involved anterior lamellar reconstruction (97%, n = 112) or combined anterior and posterior lamellar reconstruction (3%, n = 3) (Table 3). 6,11,12,16,17,[19][20][21][22][23]25,26,[30][31][32][33] Anterior lamellar reconstruction was predominantly performed with single-pedicled myocutaneous flaps from the upper eyelid (97%, n = 111), although one case of a full-thickness skin graft (1%, n = 1) was reported. 6,11,12,16,19,21,22,25,26,[30][31][32][33] Combined anterior and posterior lamellar reconstruction repairs included a double-pedicled myocutaneous upper eyelid flap with silicone implant (1%, n = 1), a single-pedicled composite upper eyelid flap (1%, n = 1), and a single-pedicled upper eyelid myocutaneous flap with conchal cartilage graft (1%, n = 1).…”

Section: Pseudocoloboma Repairmentioning

confidence: 99%

“…6,11,12,16,17,[19][20][21][22][23]25,26,[30][31][32][33] Anterior lamellar reconstruction was predominantly performed with single-pedicled myocutaneous flaps from the upper eyelid (97%, n = 111), although one case of a full-thickness skin graft (1%, n = 1) was reported. 6,11,12,16,19,21,22,25,26,[30][31][32][33] Combined anterior and posterior lamellar reconstruction repairs included a double-pedicled myocutaneous upper eyelid flap with silicone implant (1%, n = 1), a single-pedicled composite upper eyelid flap (1%, n = 1), and a single-pedicled upper eyelid myocutaneous flap with conchal cartilage graft (1%, n = 1). 17,20,23 53% (n = 61) of pseudocoloboma procedures, including single-pedicled myocutaneous flap reconstruction (n = 60) or composite flap reconstruction (n = 1), were performed with lateral canthopexy.…”

Section: Pseudocoloboma Repairmentioning

confidence: 99%

“…18,27,32 While most canthopexies did not specify material used (90%, n = 69), reported materials included bone-retained suture anchors (n = 4), polypropylene suture (n = 3), and polygalactin suture (n = 1). 27,32,33 Cosmetic outcomes for canthal dystopia repair were reported in 52 patients (64%) as an "improvement" (21%, 11/52) and "satisfactory" (58%, 30/52). Success rate was 79% among lateral canthal repair techniques (41/52).…”

Section: Lateral Canthus Surgerymentioning

confidence: 99%

“…These included midface reconstruction using a calvarial bone graft (68%, n = 56), temporal osteomuscular flap (26%, n = 21), split rib graft (4%, n = 3), and malar implants (2%, n = 2) (Table 2). 13,16,19,22,24,25,30,33 Craniofacial procedures were often performed in conjunction with eyelid procedures. Calvarial bone grafting to the malar area was performed with myocutaneous eyelid flap (55%, n = 45), canthopexy (10%, n = 8), or both (4%, n = 3).…”

Section: Pooled Demographicsmentioning

confidence: 99%

See 4 more Smart Citations

Considerations in Eyelid Reconstruction in Treacher Collins Syndrome: A Scoping Review

Vandevender

Park

Choudhary

et al. 2023

FACE

View full text Add to dashboard Cite

Objective: Treacher Collins syndrome (TCS) is a rare congenital craniofacial disorder with extensive associated eyelid deformities. Given its rarity and the breadth of manifestations, many treatment options have been previously described, but never summarized. Design: A literature review adherent to PRISMA guidelines and pertaining to surgical outcomes of TCS eyelid repair was performed. Successful surgical outcomes were defined as improvement or satisfaction as described by the authors. Results: A total of 144 patients and 212 procedures from 24 articles were included in this review. The mean age of first eyelid reconstruction was 13 years (range 1-36 years). Previous craniofacial surgery for malar insufficiency was performed in 57% of patients using a calvarial bone graft (n = 56), temporal osteomuscular flap (n = 21), split-rib graft (n = 3), and malar implant (n = 2). Patients underwent between 1 and 3 eyelid procedures (median 2). Most common eyelid defects included pseudocolobomas (54%), lateral canthal dystopia (38%), and true colobomas (8%). Coloboma repairs had the highest success rate (92%), followed by pseudocoloboma (80%), and lateral canthal dystopia repair (79%). Coloboma repair had the highest revision rate (13%), followed by pseudocoloboma repair (2%). Conclusion: TCS eyelid abnormalities most commonly present as pseudocolobomas, true colobomas, and lateral canthal dystopia. Given this diversity of presentations in TCS, surgical management must ultimately be tailored to the collective defects present with consideration of previous craniofacial reconstruction and current midface development.

show abstract