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Hypoplasia-Hyperplasia

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33•<br />

Despite well-intended surgical attempts to improve<br />

the soft tissue deficiencies of the eyelid-adnexal<br />

regions in the patient with Treacher Collins<br />

syndrome, few aesthetically pleasing soft tissue<br />

eyelid reconstructions have resulted. B: A 4-yearold<br />

child with Treacher Collins syndrome after<br />

placement of full-thickness skin grafts to the lower<br />

eyelids. The grafts leave a “patchy,” “operated-on”<br />

look that generally detracts from the result.<br />

Pedicled Osteopericranial<br />

Calvarial flap

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