Proboscis lateralis type IV--a report from the Indian subcontinent

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Congenital Anomalies

Background:

• Proboscis lateralis is a rare congenital anomaly affecting nasal development.
• Type IV proboscis lateralis, specifically, has not been previously reported in the Indian subcontinent.
• This case highlights the geographical rarity and complexity of the condition.

Observation:

• A case of right-sided proboscis lateralis in a boy from the Indian subcontinent is presented.
• The condition was associated with multiple craniofacial anomalies: ipsilateral hemi-nasal aplasia, contralateral nostril and alar defect, cleft lip and alveolus, hypertelorism, and mild hydrocephalus.
• This constellation of defects presents a significant surgical challenge.

Findings:

• This is the first reported case of Type IV proboscis lateralis from the Indian subcontinent.
• A novel surgical reconstruction technique, not previously described, was employed.
• Successful surgical correction was achieved, addressing the complex anatomical defects.

Implications:

• This case expands the known geographical distribution of Type IV proboscis lateralis.
• The novel reconstruction technique offers a potential new approach for managing similar complex cases.
• Further research into the etiology and management of rare craniofacial anomalies is warranted.