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The surgical management of childhood orbito-temporal neurofibromatosis

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Presentation on theme: "The surgical management of childhood orbito-temporal neurofibromatosis"— Presentation transcript:

1 The surgical management of childhood orbito-temporal neurofibromatosis
Vickie Lee, Nicola K Ragge, J.Richard O Collin  British Journal of Plastic Surgery  Volume 56, Issue 4, Pages (June 2003) DOI: /S (03)

2 Fig. 1 Case 1 (age 4): Complete left blepharoptosis with brow and facial asymmetry. British Journal of Plastic Surgery  , DOI: ( /S (03) )

3 Fig. 2 Case 1 (age 4): extensive conjunctival neurofibroma infiltration involving the lacrimal gland. British Journal of Plastic Surgery  , DOI: ( /S (03) )

4 Fig. 3 Case 1 (age 12) with recurrence of NF infiltration but with her upper lid still remained clear of the pupillary axis. British Journal of Plastic Surgery  , DOI: ( /S (03) )

5 Fig. 4 Case 3 (age 7) right congenital blepharoptosis and pulsating exophthalmos. British Journal of Plastic Surgery  , DOI: ( /S (03) )

6 Fig. 5 Case 3 (age 12) after enucleation and ptosis surgery (wearing an ocular prosthesis). British Journal of Plastic Surgery  , DOI: ( /S (03) )

7 Fig. 6 Case 3 (age 17) for debulking of his greatly thickened right brow area was carried. British Journal of Plastic Surgery  , DOI: ( /S (03) )

8 Fig. 7 Case 3 (age 24) after lower lid fascial sling, brow lift and further debulking surgery. British Journal of Plastic Surgery  , DOI: ( /S (03) )

9 Fig. 8 Case 4 (age 13) complete right blepharoptosis.
British Journal of Plastic Surgery  , DOI: ( /S (03) )

10 Fig. 9 Case 4 (age 13) marked postoperative conjunctival prolapse following anterior levator resection. British Journal of Plastic Surgery  , DOI: ( /S (03) )

11 Fig. 10 Case 4 (age 13) resolution of conjunctival prolapse after a full thickness lateral lid resection 5 days later. British Journal of Plastic Surgery  , DOI: ( /S (03) )

12 Fig. 11 Case 4 (age 17) after extraocular muscle transposition and a Crawford type frontalis suspension with autogenous fascia lata and a right frontal craniotomy. British Journal of Plastic Surgery  , DOI: ( /S (03) )

13 Fig. 12 Case 6 (age 12) severe right upper and lower lid neurofibromatosis, pulsating exophthalmos and a blind eye. British Journal of Plastic Surgery  , DOI: ( /S (03) )

14 Fig. 13 Case 6 (age 12) after full thickness upper and lower lid resection and enucleation. British Journal of Plastic Surgery  , DOI: ( /S (03) )

15 Fig. 14 (age 21) After canthal reattachment with a lower lid autogenous fascia lata sling. British Journal of Plastic Surgery  , DOI: ( /S (03) )

16 Fig. 15 (age 29) After further ptosis and debulking surgery.
British Journal of Plastic Surgery  , DOI: ( /S (03) )

17 Fig. 16 Case 7 (age 15) bulk of neurofibromas in this patient's socket resulting in the poor fitting of a large cosmetic shell designed to lift the right upper lid. British Journal of Plastic Surgery  , DOI: ( /S (03) )

18 Fig. 17 Case 7 (age 17) reasonable cosmesis after orbital debulking and ptosis surgery with new ocular prosthesis. British Journal of Plastic Surgery  , DOI: ( /S (03) )

19 Fig. 18 Case 9 (age 12) subtle orbito-temporal NF with mild ptosis and ocular dystopia after levator surgery 6 years earlier. British Journal of Plastic Surgery  , DOI: ( /S (03) )


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