| Ophthalmic considerations in the management of Tessier cleft 5/9. | |
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MedLine Citation:
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PMID: 20724860 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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PURPOSE: To describe a patient with Tessier cleft number 5 and 9 and review the literature on the ocular impairment and management of this extremely rare anomaly. METHODS: Interventional case report and literature review. RESULTS: The literature review showed that the present patient is the second case with clefts 5/9. The ophthalmic consequences of this rare association are virtually unreported. Our case demonstrates that the presence of cleft number 9 adds a cicatricial component on the upper eyelid that severely impairs the dynamics of this lid. The corneal status of the patient was successfully managed with simultaneous upper eyelid lengthening and facial reconstruction. CONCLUSION: In order to avoid corneal perforation, simultaneous upper and lower eyelid reconstruction is mandatory in cases of cleft 5/9. The affected patients should be continuously followed in order to prevent amblyopia. |
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Authors:
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Filipe J Pereira; Gherusa H Milbratz; Antonio A V Cruz; João J A Vasconcelos |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Ophthalmic plastic and reconstructive surgery Volume: 26 ISSN: 1537-2677 ISO Abbreviation: Ophthal Plast Reconstr Surg Publication Date: 2010 Nov-Dec |
Date Detail:
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Created Date: 2010-11-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508431 Medline TA: Ophthal Plast Reconstr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 450-3 Citation Subset: IM |
Affiliation:
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Craniofacial Unit, Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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