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lacrimal surgery

Sarah M Jacobs, Raghu C Mudumbai, A J Amadi
Purpose: This study evaluates the radiographic appearance of lacrimal gland tissue after placement of a glaucoma drainage implant (GDI) to characterize the impact of the device on the gland's imaging patterns. Methods: We performed retrospective chart review of departmental records at two urban academic medical centers, which were systematically searched using procedure codes to identify adult glaucoma patients who underwent unilateral superotemporal GDI from January 1995 to December 2015...
July 2018: Journal of Ophthalmic & Vision Research
Natalie Wolkow, David A Weinberg, Thomas A Bersani, Michael K Yoon, Daniel R Lefebvre, Nahyoung Grace Lee, Francis C Sutula, John T Mandeville, Mark P Hatton, Suzanne K Freitag
PURPOSE: The centenarian population is growing and ophthalmic plastic surgeons are providing care to an increasing number of elderly patients. Outcomes of centenarians have not been previously studied in the ophthalmic plastic surgery literature. The goal of the current review was to examine the baseline characteristics, surgical problems, and outcomes of this select group of patients. METHODS: A retrospective chart review was performed. Patients who underwent ophthalmic plastic surgery at age 100 or older between January 2000 and June 2016 by a member of the New England Oculoplastics Society were included in the study...
July 24, 2018: Ophthalmic Plastic and Reconstructive Surgery
Ahmet Kaan Gündüz, Yağmur Seda Yeşiltaş, Carol L Shields
PURPOSE OF REVIEW: The goal of this article is to review the key clinical and radiological features, treatment strategies, and prognosis of lacrimal gland tumors. RECENT FINDINGS: Debulking of the orbital lobe of the lacrimal gland may offer improved control rates in dacryoadenitis without compromise of tear film function. Contrary to previous belief, careful biopsy of the lacrimal gland prior to excision does not appear to increase the risk of recurrence in cases with suspected pleomorphic adenoma...
September 2018: Current Opinion in Ophthalmology
L Zhao, D R Tang, T Wu, T M Jian, T T Lin, F Y Sun
Objective: To discuss the clinical features, imaging features, pathological patterns, treatment principles and prognosis of the orbital nonspecific inflammatory response diseases patients whose CT or MR images show enlargement of the infraorbital nerves. Methods: A retrospective case series study. Seven orbital disease patients who were treated at Tianjin Medical University Eye Hospital between March 2013 and May 2017 were included. All patients, imaging pictures showed enlargement of the infraorbital nerve...
July 11, 2018: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
Yuhong Wang, Dongping Li, Fang Du, Na Zhou, Junping Li
OBJECTIVE: To evaluate the efficacy of a new correction method (inverted "V" release surgery) for epicanthus as a cause of congenital entropion/trichiasis in the lower eyelid. METHODS: From May 2014 to May 2017, 60 eyes of 30 patients (13 male and 17 female patients, with the age of 6.85 ± 4.52 years underwent inverted "V" release surgery to correct epicanthus. The incision in the epicanthus and entropion was continuous. Lower eyelid entropion/trichiasis was corrected by a two-layered suture...
July 10, 2018: Aesthetic Plastic Surgery
Istemihan Coban, Suzan Sirinturk, Fuat Unat, Yelda Pinar, Figen Govsa
BACKGROUND: Reconstruction of the upper eyelids following traumatic, congenital and tumor surgeries is often difficult owing to a variety of reasons including the influence of the lacrimal system, visual system and aesthetic appearance. In most cases of the reconstruction in the upper eyelid tarsal plate is the main anatomical area that should be protected against the damage. The aim of this study is to investigate the types and the measurements of the tarsal plate of the upper eyelids in Anatolian population...
July 9, 2018: Surgical and Radiologic Anatomy: SRA
Rakesh Kumar, Gaurav Batni, Sarita Bharke
Dacryocystitis is defined as inflammation of lacrimal sac. This can be congenital or acquired. Congenital dacryocystitis is commonly chronic while acquired dacryocystitis is acute and chronic both. Endonasal DCR surgery is the most commonly used treatment in chronic DCR but recent use of cautery technique in endonasal DCR surgery rather than traditional surgical blade technique has emerged with promising results with good success rate and fewer complications.
June 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
Binayak Baruah, Mona Sarawgi, Pritikanta Sahu, Kailash Prasad Dubey, Ajay Gupta, Alok Kumar
Endoscopic dacryocystorhinostomy (DCR) is usually done in cases of lacrimal apparatus obstruction. The common causes of failure are that of obstruction in the common canaliculus and closure of the rhinostomy site. To overcome these problems we use stents. Stents most commonly used are that of silicon which are expensive and not readily available. As an alternative, polypropylene (Prolene; Ethicon) is used as a stent which is cheaper and readily available. This study is done to evaluate the clinical efficacy and results of stenting with polypropylene suture material in endoscopic dacryocystorhinostomy...
June 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
Chrystelle Cailleaux, Jean-François Papon, Jérôme Nevoux
No abstract text is available yet for this article.
July 2, 2018: Clinical Otolaryngology
Martin D Hyrcza, Simon Andreasen, Linea C Melchior, Tracy Tucker, Steffen Heegaard, Valerie A White
PURPOSE: Secretory carcinoma has been described in the breast, salivary glands, skin and other organs, but has not been reported in lacrimal gland to date. Since lacrimal and salivary glands show similar tumours, we hypothesized that lacrimal secretory carcinoma may exist but has been misclassified in the past. DESIGN: We undertook a retrospective review of all lacrimal gland tumours at two tertiary institutions with centralized ocular pathology practice. METHODS: 350 lacrimal tumours were reviewed by the authors...
June 28, 2018: American Journal of Ophthalmology
Jieliang Shi, Yunhai Tu, Wencan Wu
PURPOSE: The aim of this study is to describe a minimally invasive technique of en bloc resection of malignant tumors from lacrimal drainage system (LDS). METHODS: This was a noncomparative, retrospective chart review of the clinical and pathologic findings of patients presenting with a LDS malignant tumor who underwent endoscopic prelacrimal recess approach with a small external incision for en bloc excision of the LDS. RESULTS: A total of 12 patients from April 2010 to July 2017 were reviewed in this study...
June 25, 2018: Journal of Craniofacial Surgery
H D Wang, P P Song, J Hou, X M Wei, X F Ma, F Chen, X Gao, C J Yu
Objective: To systemically evaluate the clinical significance of continuous transfixion suture for nasal septum in septoplasty. Method: Forty patients with nasal septum deviation were randomly assigned to the suture group including 20 patients who underwent endoscopic septoplasty followed by continuous transfixion suture for nasal septum, or the nasal packing group including 20 patients who underwent endoscopic septoplasty followed by nasal packing. Two groups were compared for the visual analogue scale (VAS) scores for postoperative rhinalgia, headache, lacrimation, dysphagia and sleep disorder, changes in mucociliary transport time (MTT) before and after surgery, and postoperative capillary hemorrhage...
June 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
M H Wang, B Guan, A M Yu, B Y Dai, Q Yan, S S Chen
Objective: To evaluate the influence risk factors of recurrence and the methods for reducing recurrence of sinonasal inverted papilloma (SNIP). Method: Clinical data of 34 patients with SNIP were analyzed retrospectively. All of them were unilateral onset. The diagnosis was confirmed pathologically and the range of lesions was determined by endoscopic and imaging examination; clinical classification according to Krouse classification method; All operations were performed under nasal endoscope, of which 20 cases were operated by simple nasal endoscope, and 14 cases were operated by endoscopic anterior lacrimal recess approach...
December 20, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Takuya Higashino, Mutsumi Okazaki, Hiroki Mori, Kumiko Yamaguchi, Keiichi Akita
BACKGROUND: Plastic surgery requires detailed knowledge of upper eyelid anatomy, but few authors have sufficiently described the specifics of upper eyelid nerve anatomy. This study aimed to provide a thorough description of sensory nerve anatomy in the upper eyelid and to propose considerations for upper eyelid surgery. METHODS: Sixteen orbits were dissected from 16 fixed, adult human cadavers. Microscopically, the authors identified the main trunks of the infratrochlear, supratrochlear, and supraorbital nerves and all branches that projected toward the upper eyelid...
August 2018: Plastic and Reconstructive Surgery
Nandini Bothra, Milind N Naik, Mohammad Javed Ali
PURPOSE: The purpose of the article is to report the outcomes of powered endoscopic dacryocystorhinostomy (PEnDCR) in pediatric patients. METHODS: A single-center, single surgeon, retrospective, interventional, non-comparative case series was performed on all pediatric patients who underwent PEnDCR between July 2014 and July 2017. Patients with associated congenital anomalies like single punctum agenesis or lacrimal fistula were excluded. Surgery was performed as per standard protocols published earlier...
May 22, 2018: Orbit
Jinhwan Park, Joonsik Lee, Sehyun Baek
PURPOSE: To correlate the pathologic features and heat shock protein 47 (HSP47) expression in the nasal mucosa and lacrimal sac with the surgical outcomes of endoscopic endonasal dacryocystorhinostomy (EDCR). METHODS: Specimens of the nasal mucosa and lacrimal sac over the rhinostomy site were collected during the operation. Haematoxylin-eosin and immunohistochemical staining were performed to determine the pathologic features (inflammation, fibrosis, squamous metaplasia) and the expression of HSP47 in the epithelium and sub-epithelial glands of the nasal mucosa and lacrimal sac...
May 18, 2018: Eye
Dvir Koenigstein, Ran Ben Cnaan, Shay Keren, Igal Leibovitch, Ahmad Safadi, Roee Landsberg, Avraham Abergel
AIMS: To determine the role of inferior meatus pathologies as an underdiagnosed cause of epiphora. METHODS: This study was conducted in the oculoplastic institution of Tel Aviv medical center-a regional referral center. A retrospective review of files of patients presenting to the lacrimal clinic with nasolacrimal duct obstruction between October 2010 and September 2016. Cases in which a pathology of the inferior meatus was identified and treated are presented in this article...
May 18, 2018: Eye
M B Gushchina, D S Afanasyeva, S A Borzenok
Bone abnormalities of orbit seen in patients with trauma or radiolesion are accompanied by enophthalmos or exophthalmos. Conventional measurements of eyeball protrusion with Hertel's exophthalmometer or with computed tomography do not provide accurate and reliable data, especially in patients with asymmetry of lateral orbital rims. PURPOSE: To develop a method of computed exophthalmometry that provides accurate and reliable measurements in patients with various orbital conditions. MATERIAL AND METHODS: Medical records and computerized axial tomography scans of 25 patients' orbits without false enophthalmos or exophthalmos were analyzed posthoc...
2018: Vestnik Oftalmologii
Francesca Patella, Silvia Panella, Stefania Zannoni, Maria Laura Jannone, Filippo Pesapane, Salvatore Alessio Angileri, Sara Sbaraini, Anna Maria Ierardi, Simone Soldi, Giuseppe Franceschelli, Gianpaolo Carrafiello
Epiphora is a relatively common ophthalmologic affection representing almost 5% of clinical consultations in ophthalmology and it consists in the complete or partial obstruction of nasolacrimal duct, leading to insufficient drainage of tears. The traditional treatment is represented by surgery namely, external dacryocystorhinostomy (DCR). Despite the high success rate DCR has many disadvantages and limitations since it requires general anesthesia, it may arise in a permanent facial scar and it is often affected by the reobstruction of the anastomotic tract by fibrotic scars and osteogenic activity...
April 2018: Gland Surgery
T Kühnel
Surgical management of lacrimal duct obstruction beyond the canaliculi proves to be a promising endeavor in most cases. To realize the full potential of endonasal dacryocystorhinostomy, some aspects of diagnosis and differential indication setting should be considered in order to avoid errors and problems during patient selection, execution of the technical procedure, and communication with ophthalmologists. These issues are described according to the clinical management of patients; current literature is cited...
May 14, 2018: HNO
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