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https://www.readbyqxmd.com/read/27923726/single-stage-soft-tissue-reconstruction-and-orbital-fracture-repair-for-complex-facial-injuries
#1
Peng Sen Wu, Reshvin Matoo, Hong Sun, Li Yuan Song, Don O Kikkawa, Wei Lu
BACKGROUND: Orbital fractures with open periorbital wounds cause significant morbidity. Timing of debridement with fracture repair and soft tissue reconstruction is controversial. This study focuses on the efficacy of early single-stage repair in combined bony and soft tissue injuries. METHODS: Retrospective review. Twenty-three patients with combined open soft tissue wounds and orbital fractures were studied for single-stage orbital reconstruction and periorbital soft tissue repair...
November 11, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27893559/personalized-reconstruction-of-traumatic-orbital-defects-based-on-precise-three-dimensional-orientation-and-measurements-of-the-globe
#2
Li Huang, Lisong Lin, Zhihong Wang, Bin Shi, Xiaofeng Zhu, Yu Qiu, Yue Huang, Xueyuan Yu, Yunyang Liao
OBJECTIVE: The aim of the study was to precisely assess the severity of traumatic orbital defects and techniques for personalized orbital reconstruction. METHODS: A retrospective study was conducted in 97 patients with traumatic orbital defects who were treated in our hospital between July 2003 and June 2012. Pre- and postoperative spiral computed tomography scans were performed in all patients. A spatial orientation technique was used to measure the three-dimensional position of the globe and calculate the changes in the orbital volume...
November 23, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27888891/periorbital-scar-correction
#3
REVIEW
Christopher B Chambers, Kristen S Moe
Periorbital scarring with eyelid retraction can have serious visual effects and can lead to loss of vision or even loss of the eye. Understanding of eyelid anatomy and the delicate balance of its structural supports is critical for the identification of the eyelid disorder responsible for the cicatrix and helps to guide treatment. The 2-finger test and lateral distraction of the lid can also be of significant help in proper diagnosis of the underlying disorder. Proper reconstruction with respect to the anterior and posterior lamellae helps to ensure a favorable outcome...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27861401/orbitocutaneous-fistula-secondary-to-buried-polyethylene-mesh-implant-12-years-after-injury
#4
Won-Kyung Cho, Audrey C Ko, Bobby S Korn, Don O Kikkawa
Fabric monofilament polyethylene mesh is an implant primarily used in the repair of abdominal and chest walls. However, there have been isolated reports of using this implant in facial reconstruction. The authors describe a patient who underwent prior orbital floor fracture repair with polyethylene mesh and subsequently developed a recurrent orbital abscess 12 years later. Despite incorporation of the fabric monofilament polyethylene mesh within healed bone, an orbitocutaneous fistula developed after a secondary injury, causing hyperglobus and cicatricial lower eyelid retraction...
November 15, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27836236/optimising-ballistic-facial-coverage-from-military-fragmenting-munitions-a-consensus-statement
#5
J Breeze, D C Tong, D Powers, N A Martin, A M Monaghan, D Evriviades, J Combes, G Lawton, C Taylor, A Kay, J Baden, B Reed, N MacKenzie, A J Gibbons, S Heppell, R F Rickard
VIRTUS is the first United Kingdom (UK) military personal armour system to provide components that are capable of protecting the whole face from low velocity ballistic projectiles. Protection is modular, using a helmet worn with ballistic eyewear, a visor, and a mandibular guard. When all four components are worn together the face is completely covered, but the heat, discomfort, and weight may not be optimal in all types of combat. We organized a Delphi consensus group analysis with 29 military consultant surgeons from the UK, United States, Canada, Australia, and New Zealand to identify a potential hierarchy of functional facial units in order of importance that require protection...
November 8, 2016: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/27833885/congenital-arhinia-a-rare-case-report-and-review-of-literature
#6
Uttam Mondal, Rameshwar Prasad
Congenital absence of nose (Arhinia) is extremely rare. A male baby was born at term via uncomplicated vaginal delivery and presented with complete arhinia, bilateral microphthalmia, lower eyelid coloboma and feeding difficulty. Reconstructive surgery was postponed until preschool age. On follow up at 1 year of age baby is feeding liquid and semisolid food and growing well.
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27811633/wingtip-flap-for-reconstruction-of-full-thickness-upper-and-lower-eyelid-defects
#7
Ivan Vrcek, Eva Chou, Sean Blaydon, John Shore
PURPOSE: Pentagonal wedge resection is a technique used to address a wide variety of eyelid pathology. This procedure frequently results in excess skin at the apex of the wound, commonly known as a "dog ear." A variety of methods have been described to address the cutaneous redundancy, the most classic of which is the Burow's triangle repair. The authors present a technique to address the anterior lamellar excess that avoids placement of a vertical scar traversing the pretarsal and preseptal portion of the affected eyelid...
November 2, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27760651/-clinical-and-pathological-features-and-surgical-treatment-of-eyelid-conjunctival-amyloidosis
#8
Y Cui, B Li, T Chen, Y Zhao, D M Li
Objective: To study the clinical and pathological features and surgical outcome of eyelid/conjunctival amyloidosis. Methods: It was a retrospective case series study. The clinical and pathological records of 11 patients who were diagnosed as eyelid/conjunctival amyloidosis and had surgical treatment between February 2007 and October 2015 at Beijing Tongren Hospital were analyzed. Routine pathological examinations and Congo red staining were performed. All of the 11 patients received surgical treatment. Seven patients with ptosis underwent surgical excision and ptosis repair...
October 11, 2016: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
https://www.readbyqxmd.com/read/27755407/anthropometrically-based-surgical-technique-for-tessier-3-cleft-reconstruction
#9
Aaron L Morgan, Roger Cason, Christian A El Amm
Craniofacial clefts are rare entities, with an incidence reported as 1.43 to 4.85 per 100,000 births. The Tessier number 3 cleft, the most medial of the oblique clefts, can manifest as clefting of the lip between the canine and lateral incisors, colobomas of the nasal ala and lower eyelid, and inferior displacement of the medial canthus-frequently disrupting the lacrimal system with extreme variability in expressivity (Eppley).Literature on cleft lip repair is extensive and has evolved to incorporate anthropometric techniques, based on identifiable landmarks and anthropometric measurements that are compared with contralateral unaffected anatomy or population means and tracked over time to assess impact on growth...
October 14, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27755395/an-anatomical-murine-model-of-heterotopic-periorbital-subunit-transplantation
#10
Bowen Gao, Qingxiong Yu, Feng Xie, Lingling Sheng, Xiyuan Mao, Qingfeng Li, Hainan Zhu
BACKGROUND: Conventional reconstructive methods fail to achieve satisfactory results in total eyelid defect cases. Vascularized composite tissue allotransplantation might provide both good appearance and function for these patients. The structure of the eyelid is exceptional because it simultaneously consists of skin, connective tissue, the striated muscle, fiber structure, aponeuroses, and mucosa. Thus, before clinical application of eyelid allotransplantation, more experiments are needed to clarify the impact of ischemia, immunal suppressive agents, and deinnervation effects on these sophisticated structures...
October 13, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27749619/tissue-engineering-in-ophthalmology-implications-for-eyelid-reconstruction
#11
Michelle T Sun, Andrea J O'Connor, John Wood, Robert Casson, Dinesh Selva
PURPOSE: Bioengineering aims to produce functional tissue replacements to repair defects and has been widely investigated over the past few decades. We aimed to review the available literature on the application of tissue engineering in ophthalmology, with a particular focus on ophthalmic plastic surgery and potential applications for eyelid reconstruction. METHODS: A literature search was performed on the MEDLINE database using the keywords "bioengineering," "tissue engineering," and "ophthalmology...
October 5, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27743322/reconstruction-of-orbital-floor-defects-assisted-by-transantral-endoscopy
#12
Lucas Borin Moura, Marisa Aparecida Cabrini Gabrielli, Mario Francisco Real Gabrielli, Valfrido Antonio Pereira Filho
PURPOSE: The goal of orbital reconstruction is to restore anatomy, volume, and function. In extensive orbital floor defects, the visualization of the posterior area is limited through inferior eyelid incisions. The use of endoscope may improve the treatment; however, it is a high-sensitivity technique. The aim of this case series is to describe the combination of inferior eyelid incision with transantral endoscopy for treatment of extensive orbital floor defects. METHODS: Three patients were submitted to orbital reconstruction, and the postoperative CT scans were evaluated to analyze the orbital volume and anteroposterior globe position...
October 14, 2016: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27742136/-limbal-stem-cell-deficiency-management-a-review
#13
REVIEW
V Kocaba, O Damour, C Auxenfans, C Burillon
Limbal stem cell deficiency is predominantly caused by severe eye burns resulting in a decreased or a complete ablation of the regenerative potential of these stem cells. The inability to reconstruct the corneal epithelium further leads conjunctivalization of the gimbal-epithelial barrier. These abnormalities collectively result in the progressive opacification of the cornea responsible for blindness that is driven by chronic corneal ulceration and neovascularization. The underlying pathology of the cornea affects the homeostasis of the neighboring conjunctiva, eyelids, and tear film...
November 2016: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/27717107/management-of-patients-with-ocular-manifestations-in-vesiculobullous-disorders-affecting-the-mouth
#14
REVIEW
M S Hansen, O N Klefter, H O Julian, A M Lynge Pedersen, S Heegaard
Pemphigoid and pemphigus diseases as well as Stevens-Johnson syndrome present as vesiculobullous disorders of the skin and may additionally involve both the oral cavity and the ocular surface. Ocular involvement ranges from mild irritation and dry eye disease to chronic conjunctivitis, symblepharon, eyelid malposition, ocular surface scarring and severe visual loss. In addition to diagnostic assessments, ophthalmologists must treat the dry eye and meibomian gland dysfunction components of these diseases using a stepladder approach, including eyelid hygiene and lubricants...
October 7, 2016: Oral Diseases
https://www.readbyqxmd.com/read/27695287/longevity-results-of-modified-hughes-procedure-in-reconstructing-large-lower-eyelid-defects
#15
Adel Galal Zaky, Hesham Mohamed Fouad Elmazar, Mohamed Samy Abd Elaziz
PURPOSE: The purpose of this study was to evaluate the longevity results of modified Hughes procedure in reconstructing large lower eyelid defects. BACKGROUND: The modified Hughes procedure was used to reconstruct large full-thickness lower eyelid defects. Meanwhile, the functional results indicated that ocular surface health in the treated eyes may be affected. PATIENTS AND METHODS: Noncomparative, case series retrospective study was designed after obtaining the approval of the institutional review board at the Ophthalmology Department, Menoufia University, Egypt, where the results of cases who underwent surgery with the modified Hughes procedure during a 7-year interval were evaluated...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27688276/repair-of-50-75-full-thickness-lower-eyelid-defects-lateral-stabilization-as-a-guiding-principle
#16
C Blake Perry, Richard C Allen
INTRODUCTION: Repair of large defects of the lower eyelid can be difficult. A common procedure performed to address these defects is a Hughes flap. This procedure has a number of disadvantages: The eye is closed postoperatively, a second stage is required, and the edge of the flap is often erythematous. The purpose of this paper is to describe a one-stage procedure for the repair of large full-thickness defects of the lower lid as an alternative to a Hughes flap. MATERIALS AND METHODS: This is a retrospective study of patients who underwent the described procedure...
August 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27662053/reconstruction-of-a-large-divided-nevus-of-the-eyelid
#17
Li Hu, Yunbo Jin, Mathias Tremp, Xiaoxi Lin
No abstract text is available yet for this article.
September 21, 2016: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/27642163/restoration-of-eye-closure-in-facial-paralysis-using-implantable-electromagnetic-actuator
#18
Shaheen Hasmat, Nigel H Lovell, Gregg J Suaning, Tsu-Hui Hubert Low, Jonathan Clark
The most devastating outcome of facial nerve paralysis is the inability to completely close the eye as it can lead to corneal ulceration and loss of vision. Gravity-assisted eye closure with upper lid loading is commonly used; however it is limited in replicating physiological eye closure to adequately lubricate the cornea. Superior results can be obtained using more advanced reconstructive approaches, however they depend on nerve regrowth which may be unpredictable and prolonged. This report describes a novel technique for creating an active eye closure using an implantable actuator...
September 7, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27607120/a-novel-single-staged-technique-for-the-treatment-of-soft-tissue-in-an-oblique-facial-cleft
#19
Mona Ascha, Donald Harvey, Devra Becker, David Rowe, Hiteswar Sarma, Gregory E Lakin
INTRODUCTION: Oblique facial clefts are extremely rare and cause significant morbidity. Treatment of these clefts is complex and requires a fundamental understanding of cleft classification and techniques used for treatment of clefts. METHODS: We describe a novel single-staged technique to repair the Tessier no. 4 soft tissue cleft and reconstruct the buccal sulcus and bilaminar lower eyelid by preserving normally excised tissue combined with standard procedures...
September 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27595028/a-case-of-orbital-myiasis-in-recurrent-eyelid-basal-cell-carcinoma-invasive-into-the-orbit
#20
Triptesh Raj Pandey, Gulshan Bahadur Shrestha, Ranju Kharel Sitaula, Dev Narayan Shah
Introduction. Orbital myiasis is the infestation of the orbital tissues by fly larvae or maggots. Compromise of periorbital tissues by malignant disease, surgery, ischemia, or infection may predispose the patient to orbital myiasis. Case Report. A 73-year-old male patient with neglected recurrent basal cell carcinoma of the eyelid invasive into the orbit presented with complaints of intense itching and crawling sensation with maggots wriggling and falling from the wound of left orbit. The patient improved following manual removal of the maggots along with oral Ivermectin treatment...
2016: Case Reports in Ophthalmological Medicine
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