Auricular Cartilage Grafting for Lower-Eyelid Entropion in Syndromic Craniosynostosis: A Case Series.
Shunsuke Imai, Akimitsu Sato, Nariaki Takamura et al.
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Case in brief
A retrospective case series described three patients with syndromic craniosynostosis, including Crouzon or Pfeiffer syndrome, who had lower-eyelid entropion with persistent eyelash–corneal contact. The authors attributed the malposition to complex midfacial and orbital anatomy, with relative posterior lamellar insufficiency. Each patient underwent posterior lamellar lengthening through a transconjunctival approach using autologous auricular cartilage secured to the tarsal plate. All had improved cilia–corneal touch and symptom relief, with satisfactory functional and aesthetic outcomes. No recurrence or major complications were reported during follow-up.
What made this case unusual
The report describes auricular cartilage grafting to address entropion in the setting of syndromic craniosynostosis, where severe midface hypoplasia or prior midface advancement may contribute to posterior lamellar insufficiency.
Diagnostic / clinical pearl
In syndromic craniosynostosis, persistent eyelash–corneal contact may reflect lower-eyelid entropion associated with posterior lamellar insufficiency; assess the underlying midfacial and orbital anatomy.