Management of eyelid anomalies associated with blepharo-cheilo-dontic syndrome

PURPOSE: To describe the previously unreported managed ment of the eyelid a nomalies associated with blepharo-cheilo-dontic syndrome. Blepharo-cheflo-d ontic syndrome is a syndrome of congenital cleft lip/palate, oligodontia, e uryblepharon, eyelid ectropion, and lagophthalmos. METHODS: Case report. A 3-month-old male presented with bilateral upper and lower eyelid ectropion with eyelid retraction, marked euryblepharon, sever e lagophthalmos, and a right side cleft lip/palate. Lateral tarsal strips, lower eyelid retractor disinsertion, myocutaneous advancement of the cheek and eyelids, and lateral tarsorrhaphy were performed. RESULTS: Correction of the ectropion, eyelid retraction, euryblepharon, and marked improvement in his lagophthalmos were achieved postoperatively. No recurrence of the ectropion or euryblepharon has been noted after 6 months of follow-up. CONCLUSION: Appropriate reconstructive surgery of the eyelids reduces the m orbidity associated with the eyelid anomalies and provides an excellent cos metic result for patients with blepharo-cheilo-dontic syndrome. (C) 2001 by Elsevier Science Inc. All rights reserved.