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eyelid reconstruction

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https://www.readbyqxmd.com/read/29040029/autologous-fat-transfer-with-seffi-superficial-enhanced-fluid-fat-injection-technique-in-periocular-reconstruction
#1
Benjamin Riesco, Cristina Abascal, Ana Duarte, Rocio Mariel Flores, Guillermina Rouaux, Raul Sampayo, Francesco Bernardini, Martin Devoto
PURPOSE: To evaluate the aesthetic and functional outcomes of autologous fat transfer using the SEFFI (superficial enhanced fluid fat injection) technique for reconstruction of the periocular area. METHODS: Autologous fat injections prepared with the 0.5 mL and 0.8 mL SEFFI technique were used in four patients for periocular rehabilitation. RESULTS: Case 1 (C1): A patient with left-sided progressive facial hemiatrophy underwent ipsilateral volumizing with 0...
October 17, 2017: Orbit
https://www.readbyqxmd.com/read/29038637/subcuticular-suture-technique-alternative-to-frost-suture-to-prevent-ectropion-after-transcutaneous-incision-of-lower-eyelid
#2
Adarsh Kudva, Abhay Kamath, K M Cariappa, Srikanth Gadicherla, B Vasantha Dhara
INTRODUCTION: An ectropion is a complication that can arise from reconstruction in the infraorbital region. Often, this complication occurs despite proper positioning of the lower lid at the time of closure. Various transcutaneous approaches to orbit skeleton have investigated in view of complication arising from them. A subtarsal approach with a postoperative Frost suture gives an advantage to reduce the occurrence of ectropion especially after treatment of orbital floor fractures. MATERIAL AND METHODS: This case describes a method of subcuticular suturing technique for subtarsal incision of lower lid which can be used to support the lid during healing period, thus decreasing the rate of ectropion...
December 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29018761/using-stem-cell-biology-to-study-and-treat-ophthalmologic-and-oculoplastic-diseases
#3
REVIEW
Albert Y Wu, Michael G Daniel
With the rapid growth of the stem cell biology field, the prospect of regenerative medicine across multiple tissue types comes closer to reality. Several groundbreaking steps paved the way for applying stem cell biology to the several subfields within ophthalmology and oculoplastic surgery. These steps include the use of stem cell transplants as well as studies of various ophthalmologic pathologies at the molecular level. The necessity of stem cell transplant is readily apparent, having already been used for several studies such as artificial lacrimal gland design and eyelid reconstruction...
April 2017: Taiwan Journal of Ophthalmology
https://www.readbyqxmd.com/read/28969748/primary-merkel-cell-carcinoma-on-the-cheek-three-case-reports
#4
Tao Fan, Ying Jie Song, Xiu Li Liu, Jun Zhou, Hong Yang, Ya Nan Wei, Chao Qi Wang
Merkel cell carcinoma (MCC) is a rare aggressive cutaneous neuroendocrine carcinoma that typically arises in sunexposed areas of the skin. Herein, we present three cases of primary MCC of the cheek. Case 1 had multiple nodules and mild swelling on the left cheek and eyelids, the patient did not receive any treatment and died after 10 months. Case 2 presented with nodule on patient's left cheek, which increased gradually. The patient was treated with surgical resection from the tumor edge 0.3 cm and skin flap transplantation, she died after 21 months...
September 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/28944479/temporal-horizontal-h-figure-sliding-skin-flap-for-central-eyelid-reconstructive-surgery-in-dogs-a-retrospective-study
#5
C Giordano, A Vercelli, G Barsotti
OBJECTIVE: To describe a modified H-figure sliding skin flap for treating eyelid central neoplasms and to evaluate the cosmetic and functional results of this reconstructive blepharoplasty. MATERIAL AND METHODS: Eight dogs affected by eyelid neoplasia involving more than one-third of the central part of the margin underwent an en bloc rectangular surgical removal of the neoplasia. Reconstructive surgery was performed using a temporal horizontal H-figure sliding skin flap...
September 25, 2017: Journal of Small Animal Practice
https://www.readbyqxmd.com/read/28919826/forehead-galeal-pericranial-flap-for-single-staged-total-upper-eyelid-reconstruction-in-sebaceous-gland-carcinoma-excision
#6
Hui-Hsiu Chang, Edward Suh, Blake H Fortes, Franklin Zheng, Anny Ms Cheng
PURPOSE: To present a successful case of single-staged total upper eyelid reconstruction after sebaceous gland carcinoma excision by using forehead galeal pericranial flap. OBSERVATIONS: An 80-year-old female with a progressively enlarged left upper eyelid mass presented with ocular irritation, blurred vision, and gritty sensation despite topical antibiotics treatment. This multinodular mass involved the left total upper eyelid, compromised corneal surface integrity, and caused complete ptosis...
2017: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/28913322/late-complication-of-a-silicone-implant-thirty-years-after-orbital-fracture-reconstruction
#7
Chi An Lee, Seok Joo Kang, Ji Young Yun, Hook Sun
Alloplastic materials used for orbital fracture reconstruction can induce complications, such as infection, migration, extrusion, intraorbital hemorrhage, and residual diplopia. Silicone is one of the alloplastic materials that has been widely used for decades. The author reports a rare case of spontaneous extrusion of a silicone implant that was used for orbital fracture reconstruction 30 years earlier. A 50-year-old man was admitted to the emergency room for an exposed substance in the lower eyelid area of the left eye, which began as a palpable hard nodule a week earlier...
June 2017: Arch Craniofac Surg
https://www.readbyqxmd.com/read/28913282/the-versatility-of-cheek-rotation-flaps
#8
Kyung Pil Kim, Ho Seup Sim, Jun Ho Choi, Sam Yong Lee, Do Hun Lee, Seong Hwan Kim, Hong Min Kim, Jae Ha Hwang, Kwang Seog Kim
BACKGROUND: The cheek rotation flap has sufficient blood flow and large flap size and it is also flexible and easy to manipulate. It has been used for reconstruction of defects on cheek, lower eyelid, or medial and lateral canthus. For the large defects on central nose, paramedian forehead flap has been used, but patients were reluctant despite the remaining same skin tone on damaged area because of remaining scars on forehead. However, the cheek flap is cosmetically superior as it uses the adjacent large flap...
December 2016: Arch Craniofac Surg
https://www.readbyqxmd.com/read/28889142/dengue-shock-syndrome-with-retroperitoneal-haematoma-requiring-repeated-artery-angioembolization
#9
Y H Teh, Y P Tan, M M Zain
Eyelid reconstruction is complex and challenging since it is not only for structural and functional restoration, but also for an acceptable aesthetic result. In full thickness eyelid injuries, it will involve both anterior and posterior lamella. Therefore, when reconstructing the defect, it requires at least two layers; one will be a flap with blood supply, and the other can be a free graft. In this case, a rotational advancement cheek flap and composite graft were used to reconstruct the lower eyelid.
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28887865/plasma-rich-plasma-the-ultimate-secret-for-youthful-skin-elixir-and-hair-growth-triggering
#10
REVIEW
Ebtisam Elghblawi
The clinical application of platelet-rich plasma (PRP) is based on the increase in the concentration of growth factors that are released from alpha-granule of the concentrated platelets and in the secretion of proteins which are able to capitalize on the healing process at the cellular level. It has been invented to restore the natural beauty by starting the natural rejuvenation process of the skin and aiming to make it function as a younger one and to keep the skin youthful and maintain it. Besides that, it is also emerged to include hairs as a new injectable procedure to enable stimulating hair growth locally and topically; preventing its fall; improving hair shaft, hair stem, and its caliber; increasing its shine, vitality, and pliability; and declining hair splitting and breakage...
September 8, 2017: Journal of Cosmetic Dermatology
https://www.readbyqxmd.com/read/28837389/basaloid-adenocarcinoma-of-the-lacrimal-sac-a-rare-entity-and-approach-to-management
#11
Alison B Huggins, Mary A Stefanyszyn, Gurston Nyquist, Michael P Rabinowitz
Presented is a rare case of basaloid adenocarcinoma of the lacrimal sac. Low grade features of this malignancy permitted a conservative surgical approach to maximize functional and cosmetic outcomes. This is retrospective case description of a single 77-year-old-female patient who underwent a dacryocystorhinostomy with silicone tubes at an outside hospital for epiphora, but was referred to the Wills Eye Hospital Oculoplastics Department for a lacrimal sac biopsy showing low-grade carcinoma with basaloid features...
August 24, 2017: Orbit
https://www.readbyqxmd.com/read/28831353/large-eyelid-defect-repair-using-a-free-full-thickness-eyelid-graft
#12
Khashayar Memarzadeh, Karl Engelsberg, Rafi Sheikh, Malin Malmsjö
Large eyelid full-thickness defects are traditionally repaired using flaps with a blood-supplying pedicle, for the reconstruction of the anterior or posterior lamella or both. This is a 2-stage procedure involving occlusion of vision in the affected eye for 4-8 weeks, as the flap pedicle is not divided until vascularization is deemed adequate. However, the importance of using a flap with a pedicle to ensure adequate perfusion of the graft has recently been questioned.
July 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28831334/simultaneous-surgical-treatment-for-smile-dysfunction-and-lagophthalmos-involving-a-dual-latissimus-dorsi-flap
#13
Tsutomu Homma, Mutsumi Okazaki, Kentaro Tanaka, Noriko Uemura
Paralytic lagophthalmos and smile dysfunction are serious complications of facial paralysis and various reconstructive procedures have been developed to treat them. Among these procedures, there is no doubt that dynamic procedures are more effective than static ones. The 1-stage simultaneous surgical treatment of these 2 dysfunctions with a dynamic procedure involving a single muscle would be ideal, but no such methods have been reported. In this article, we present a 1-stage method for the simultaneous surgical treatment involving the use of a dual latissimus dorsi muscle flap...
July 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28803395/isolated-severe-microblepharon-in-a-neonate-a-rare-case
#14
Rachna Meel, Saranya Devi, Anita Ganger, Manasa S, Neelam Pushker
PURPOSE: To report a rare case of isolated severe microblepharon in a neonate. METHODS: A 27 days old male child was brought by parents with redness, photophobia and discharge for two weeks. Thorough ophthalmological and systemic examination was performed. RESULTS: The diagnosis of isolated severe microblepharon with infectious keratitis was made. After the appropriate management of infectious keratitis and achieving complete resolution, the child was subjected to bilateral lid reconstruction was done in the form of upper lid skin grafting and tarsorrhaphy and the patient is being followed up...
August 12, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28781845/the-association-of-a-lip-commissure-to-eyelid-transposition-flap-with-a-frontal-transposition-flap-for-reconstructive-eyelid-surgery-following-squamous-cell-carcinoma-resection-in-a-european-short-haired-cat
#15
Anne-Sophie Poinsard, Iona Mathieson, Thomas Dulaurent, Pierre-François Isard, Olivier Balland
The surgical resection of a squamous cell carcinoma in a cat was performed on both the palpebral and nasal aspects of the OD medial canthus. A two-stage surgical technique was employed, involving two different transposition flaps, taking care to maintain eyelid function and estheticism, with a long follow-up.
August 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28733572/lower-eyelid-reconstruction-following-a-traumatic-full-thickness-loss
#16
W J Tang, A Z Mat Saad
Eyelid reconstruction is complex and challenging since it is not only for structural and functional restoration, but also for an acceptable aesthetic result. In full thickness eyelid injuries, it will involve both anterior and posterior lamella. Therefore, when reconstructing the defect, it requires at least two layers; one will be a flap with blood supply, and the other can be a free graft. In this case, a rotational advancement cheek flap and composite graft were used to reconstruct the lower eyelid.
June 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28691463/use-of-the-orbital-fat-pad-in-eyelid-reconstruction
#17
A Baj, O D Orto, M Romano, G A Beltramini, F J Silvestre, A B Giannì
Eyelid reconstruction, though challenging, can produce a functional, esthetically pleasing lid. This should preferably be accomplished with a one-stage procedure, using robust, well-vascularized tissues similar to those being replaced, with minimal associated donor morbidity. According to the experience with Bichat pedicled flap in oral reconstruction, the authors propose the use of pedicle infraorbital fat pad for repair of conjunctival defect. Seven patients underwent eyelid reconstruction of full-thickness oncological or post-traumatic defects...
April 2017: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/28690224/-autologous-tissue-reconstruction-of-tarsal-plate-combined-with-temporal-flap-in-repairing-full-thickness-lower-eyelid-defect
#18
Ming Li, Shaoqian Liu, Nian Chen, Feijiao Duan, Hongju Xie
To evaluate the clinical effect of combination of autologous tissue reconstruction of tarsal plate with temporal flap on repair of full-thickness lower eyelid defect. 
 Methods: Eleven patients (11 eyes) underwent hard palate mucosa or ear cartilage combined the emporal flap with the orbicularis oculi muscle to repair full-thickness defect of palpebra inferior. Of the 11 patients, 6 had more than 75% eyelid defect area, and 5 had more than 50% eyelid defect area. 
 Results: All 11 eyes closed completely, with no entropion or ectropion, and returned to normal basically...
June 28, 2017: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://www.readbyqxmd.com/read/28678580/reconstructive-subperiosteal-midface-lift-a-three-nonvisible-incision-approach
#19
Marco Sales-Sanz, Constanza Barrancos, Hae-Ryung Won-Kim, Andrea Sales-Sanz, César Colmenero
This article describes our surgical technique for subperiosteal midface elevation in patients with paralytic lower eyelid malposition or cicatricial inferior eyelid retraction. Nineteen patients with paralytic lower eyelid malposition and 15 patients with cicatricial inferior eyelid retraction underwent a subperiosteal midface lift (n = 34). The procedure was performed under local anesthesia through three nonvisible incisions. A transconjunctival incision allows preseptal dissection to the orbital rim, followed by a subperiosteal dissection of the midface...
July 5, 2017: Orbit
https://www.readbyqxmd.com/read/28676168/reconstruction-of-cheek-defects-secondary-to-mohs-microsurgery-or-wide-local-excision
#20
REVIEW
John E Hanks, Jeffrey S Moyer, Michael J Brenner
Successful reconstruction of the cheek following excision for cutaneous malignancy requires careful consideration of defect location, size, and depth in relation to the anatomic properties of the affected cheek unit. Various reconstructive options are available to the surgeon, ranging from simple excisions to complex cervicofacial advancements to meet the needs for functional and aesthetically pleasing reconstructive outcomes. The surgeon must prevent distortion of mobile structures, such as the eyelid, nose, and lips; respect aesthetic subunits; and avoid blunting natural creases...
August 2017: Facial Plastic Surgery Clinics of North America
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