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Updated: May 11, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Congenital orbital teratoma.
Shereen Aiyub1, Wengonn Chan, John Szetu
1Pacific Eye Institute, Suva, Fiji.
Indian Journal of Ophthalmology
|April 27, 2013
Summary
This case report details the successful management of a congenital orbital teratoma in an infant using lid-sparing exenteration and a dermis fat graft for socket reconstruction.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Surgical Oncology
Background:
- Congenital orbital teratomas are rare tumors presenting at birth.
- Management often requires specialized surgical expertise and reconstruction techniques.
Observation:
- A full-term infant presented with a prolapsed globe and a nonpulsatile cystic mass, diagnosed as a congenital orbital teratoma.
- The patient was transferred for advanced surgical management due to limited local expertise.
Findings:
- Lid-sparing exenteration with frozen section control was performed.
- A dermis fat graft successfully reconstructed the orbital socket post-exenteration.
- Histopathology confirmed a mature teratoma with derivatives from all three germ layers.
Implications:
- This case highlights the successful application of lid-sparing exenteration and dermis fat grafting for congenital orbital teratoma.
- It demonstrates a viable reconstructive approach for orbital defects in pediatric patients.
- Effective management strategies are crucial for improving outcomes in rare pediatric orbital tumors.
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