Treacher Collins Sydrome: Treatment
The inferior tilt of the outside of the eyelids (an area called
the lateral canthus) is best treated with an operation called a "canthopexy."
This operation basically just lifts the outside of the corner of the eyes.
In general, people are considered more attractive if the outside corner
of their eyes is higher than the inside. In TCS, the eyes tilt downwards.
By lifting up the outside corners, the child will appear to look "less
sad." This operation can be done at any age, however, the younger the
child is, in general, the less successful this operation is because the
eyes will tend to go back to the way they were. This recurrence is because
of a substance in the skin that is called elastin. Elastin works like
a rubber band, it helps to keep youthful skin tight, but also "wants"
to pull the corner of the eye back to where it was before surgery. As
we all get older, we lose this elastin, and as a result the effects of
surgery are more dramatic. At our center, this operation (a canthopexy)
is typically done without putting any external facial scars on the patient.
Another operation that may be recommended is the upper eyelid switch
flap. In this operation, tissues are taken from the upper eyelid and brought
down to the lower eyelid. I almost never recommend this operation. The
scars that are left behind (in my opinion) tend to look horrible for the
rest of the child's life. Most patients that have had this procedure are
very unhappy with the results, yet many doctors still recommend it to
their patients. The use of skin grafts in the lower eyelids also look
very bad, and tend to be ineffective, as well.
Other Treacher Collins Treatments:
The First year
| Sleep Apnea
| Narrow Forehead
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