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    Comparison of preseptal and retroseptal transconjunctival approaches in patients with isolated fractures of the orbital floor.
    J Craniomaxillofac Surg 2017 Dec 24. Epub 2017 Dec 24.
    Department of Oral and Maxillofacial Surgery, University Hospital of Zürich, Zürich, Switzerland. Electronic address:
    Transconjunctival approach has become a standard procedure to access fractures of orbit and the infraorbital rim. The transconjunctival incision can be performed pre- or retroseptally. Both approaches have been described combined with modifications such as transcaruncular or detachment of the lateral canthus for wider exposure of the orbital walls and rim. Read More

    Correction of a Posttraumatic Orbital Deformity Using Three-Dimensional Modeling, Virtual Surgical Planning with Computer-Assisted Design, and Three-Dimensional Printing of Custom Implants.
    Craniomaxillofac Trauma Reconstr 2018 Mar 3;11(1):78-82. Epub 2017 Apr 3.
    Department of Plastic Surgery, University of Tennessee at Chattanooga, Chattanooga, Tennessee.
    We describe a case of complex, posttraumatic skull and orbital deformities that were evaluated and treated with advanced computer technology, including virtual surgical planning, three-dimensional (3D) modeling, and printed patient custom implants (PCI) fabricated by 3D printing. A 50-year-old man presented to our craniofacial referral center 1 year after failed reduction of complex left orbital, zygomatic, and frontal bone fractures due to a motorcycle collision. The patient's chief complaint was debilitating diplopia in all fields of gaze. Read More

    Ophthalmologic Approach in Epidermolysis Bullosa: A Cross-Sectional Study With Phenotype-Genotype Correlations.
    Cornea 2018 Jan 30. Epub 2018 Jan 30.
    Cornea Department, Fundación Oftalmológica Los Andes, Santiago, Chile.
    Purpose: This study describes ophthalmologic and systemic clinical findings in different subtypes of epidermolysis bullosa (EB) establishing genotype-phenotype correlations.

    Methods: A cross-sectional study was conducted in 58 patients with EB together with the Dystrophic Epidermolysis Bullosa Research Association, Chile. Data were stratified by major subtypes such as "simplex epidermolysis bullosa" (EBS), "junctional epidermolysis bullosa" (JEB), "recessive and dominant dystrophic epidermolysis bullosa" and "dominant dystrophic epidermolysis bullosa" (DDEB), and "Kindler syndrome" (KS). Read More

    Floppy Eyelid Syndrome: An Unfamiliar Entity for Plastic Surgeons.
    Ann Plast Surg 2018 Feb;80(2S Suppl 1):S40-S47
    Background: Floppy eyelid syndrome (FES) is typically characterized by chronic eye irritation and an increased laxity of the upper eyelid that can be easily everted by applying minimal upward traction. However, it is a clinical entity that is less known to most plastic surgeons. Blepharoptosis is one of the most common features, which links to FES, for which a thorough differential diagnosis has become important in directing proper medical treatment. Read More

    The Reliability of the Transconjunctival Approach for Orbital Exposure: Measurement of Positional Changes in the Lower Eyelid.
    Arch Craniofac Surg 2017 Dec 23;18(4):249-254. Epub 2017 Dec 23.
    Department of Plastic and Reconstructive Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
    Background: Lower eyelid incisions are widely used for the orbital approach in periorbital trauma and aesthetic surgery. In general, the subciliary approach is known to cause disposition of the lower eyelid by scarring the anterior lamella in some cases. On the other hand, many surgeons believe that a transconjunctival approach usually does not result in such complications and is a reliable method. Read More

    Variants in members of the cadherin-catenin complex, CDH1 and CTNND1, cause blepharocheilodontic syndrome.
    Eur J Hum Genet 2018 Jan 18. Epub 2018 Jan 18.
    Department of Genetics, Center for Molecular Medicine, University Medical Center Utrecht, Utrecht, 3584CG, The Netherlands.
    Blepharocheilodontic syndrome (BCDS) consists of lagophthalmia, ectropion of the lower eyelids, distichiasis, euryblepharon, cleft lip/palate and dental anomalies and has autosomal dominant inheritance with variable expression. We identified heterozygous variants in two genes of the cadherin-catenin complex, CDH1, encoding E-cadherin, and CTNND1, encoding p120 catenin delta1 in 15 of 17 BCDS index patients, as was recently described in a different publication. CDH1 plays an essential role in epithelial cell adherence; CTNND1 binds to CDH1 and controls the stability of the complex. Read More

    Apremilast Use in a Case of Cicatricial Ectropion Secondary to Severe Lamellar Ichthyosis.
    Ophthal Plast Reconstr Surg 2018 Jan 17. Epub 2018 Jan 17.
    Department of Ophthalmology, School of Medicine, West Virginia University.
    Ichthyosis is a cutaneous disorder characterized by excessive amounts of dry thickened skin surface scales. Ocular manifestations of ichthyosis include cicatricial ectropion, which may cause exposure keratoconjunctivitis and rarely corneal perforation. Topical emollients, anti-inflammatory ointments, and systemic retinoids have been used to control the disease process, while surgical correction with donor graft has been reserved for severe cases involving corneal exposure. Read More

    Reversible cicatricial ectropion associated with EGFR inhibitors.
    Orbit 2018 Jan 16:1-4. Epub 2018 Jan 16.
    a Department of Ophthalmology , Columbia University Medical Center , New York , New York , USA.
    The management of cicatricial ectropion resulting from epidermal growth factor receptor (EGFR) inhibitors is unclear. We describe two cases of bilateral cicatricial ectropion following the use of an EGFR inhibitor who were treated with oral doxycycline, topical ophthalmic steroid and antibiotic ointment to the eyelids, and topical facial steroid cream with lubrication. The first case resolved with discontinuation of panitumumab infusions along with institution of the aforementioned regimen. Read More

    Severe ectropion in lamellar ichthyosis managed medically with oral acitretin.
    Pediatr Dermatol 2018 Jan 15. Epub 2018 Jan 15.
    Department of Ophthalmology, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, India.
    Congenital ectropion is commonly associated with lamellar ichthyosis. Severe eyelid ectropion may cause corneal exposure, keratopathy, and permanent corneal scarring. We report a neonate with severe, bilateral, congenital ectropion and eclabium managed using oral retinoids. Read More

    Superiorly based nasolabial island flap for reconstruction of the lateral lower eyelid
    Turk J Med Sci 2017 Dec 19;47(6):1673-1680. Epub 2017 Dec 19.
    Background/aim: Various flap procedures have been described and used for the lower eyelids; however, the nasolabial flap is rarely employed. We herein aimed to present the clinical results of using the superiorly based nasolabial island flap for repair of surgical defects extending to the lateral lower eyelid. Materials and methods: Nine patients with a mean age of 62 +- 6 years underwent surgery for reconstruction of the lower eyelid. Read More

    Association between oral fluoroquinolone use and lateral canthal tendon rupture: case report.
    Orbit 2018 Jan 5:1-3. Epub 2018 Jan 5.
    a Department of Ophthalmology , The George Washington University School of Medicine and Health Sciences , Washington , DC , USA.
    It is well established and documented that fluoroquinolone use is associated with the development of tendinopathy. However, little is known about the possible effects of this class of antibiotics on the orbit. We present a case of lateral canthal tendon rupture that presented with an acute right lower eyelid ectropion in a young, renal compromised patient in the setting of recent fluoroquinolone use for pneumonia. Read More

    Bending the Arc of the Trilobed Flap Through External Interlobe Angle Inequality.
    Dermatol Surg 2017 Dec 28. Epub 2017 Dec 28.
    Department of Dermatology, St. Louis University School of Medicine, Anheuser Busch Institute, St. Louis, Missouri.
    Background: The trilobed flap is a useful repair option for distal nasal defects. In certain cases, however, the placement of its quaternary defect may risk compression of the internal nasal valve or induction of ectropion. In this study, we propose a modified design of the trilobed flap, which uses unequal external interlobe angles. Read More

    Cicatricial ectropion in a patient treated with dupilumab.
    Am J Ophthalmol Case Rep 2017 Sep 22;7:120-122. Epub 2017 Jun 22.
    Cole Eye Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue/i-13, Cleveland, OH 44195, United States.
    Purpose: To describe a case of bilateral conjunctivitis and cicatricial ectropion associated with dupilumab therapy for atopic dermatitis.

    Observations: Severe hyperemia of the conjunctiva and eyelid margins, as well as cicatricial ectropion, began two months after starting weekly dupilumab injections for atopic dermatitis. The findings worsened over the next several months and improved after discontinuing dupilumab. Read More

    A proteomic profile of postpartum cervical repair in mice.
    J Mol Endocrinol 2018 Jan;60(1):17-28
    Department of BiologyAppalachian State University, Boone, North Carolina, USA
    A timely and complete uterine cervical tissue repair postpartum is of necessity to prevent obstetrical complications, such as cervicitis, ectropion, hemorrhage, repeated miscarriages or abortions and possibly preterm labor and malignancies. We recently characterized the morphological alterations, as well as changes in angiogenic expression profile in a mice uterine cervix during the immediate postpartum period. Here, we build on this previous study using a proteomic analysis to profile postpartum tissue changes in mice cervix during the same period, the first 48 h of postpartum. Read More

    Inflammatory foreign body reaction caused by resorbable materials used for orbital fractures repair: A case report.
    Medicine (Baltimore) 2017 Dec;96(49):e8822
    aDepartment of Ophthalmology, Ninth People's Hospital, Shanghai Jiao Tong University School of MedicinebShanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, People's Republic of China.
    Rationale: Resorbable materials have been recommended for orbital fractures repair. Many literatures reported the advantages of resorbable materials in clinical applications, but few reports about complications.

    Patient Concerns: In this study, we encountered a 14-year-old boy treated for the orbital fracture by using resorbable plate, in whom inflammatory foreign body reaction was detected. Read More

    Recurrent Lower Eyelid Ectropion After Graft Surgery Using Autogenous Palmaris Longus Tendon.
    J Craniofac Surg 2017 Dec 7. Epub 2017 Dec 7.
    *Department of Ophthalmology, Daisan Hospital, The Jikei University School of Medicine, Tokyo†Department of Oculoplastic, Orbital, and Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Aichi‡Department of Ophthalmology, The Jikei University School of Medicine, Tokyo, Japan.
    A 78-year-old male experienced right lower eyelid ectropion following right facial trauma from a fall 5 years ago, for which he underwent autogenous palmaris longus tendon graft surgery at another clinic. Recurrence was noted 3 years after surgery. On first examination, there was outward turning of the lateral half of the right lower eyelid margin. Read More

    Phenotype expansion and development in Kosaki Overgrowth Syndrome.
    Clin Genet 2017 Dec 11. Epub 2017 Dec 11.
    Department of Medical Genetics, The Children's Memorial Health Institute, Warsaw, Poland.
    We expand the KOGS phenotype by over 70% to include 24 unreported KOGS symptoms, in a first male patient, the third overall associated with the PDGFRB c.1751C>G, p.(Pro584Arg) mutation. Read More

    The Lateral Tarsal Strip for Paralytic Ectropion in Patients with Leprosy.
    Ann Dermatol 2017 Dec 30;29(6):742-746. Epub 2017 Oct 30.
    Department of Dermatology, Gachon University Gil Medical Center, Incheon, Korea.
    Background: In patients with leprosy, paralysis of the facial nerve results in the lower eyelid ectropion and lagophthalmos as a sequela even when the leprosy is cured. Paralytic ectropion causes many functional and cosmetic eye problems, leading to blindness if left untreated.

    Objective: The purpose of this retrospective study is to evaluate the efficacy of surgical correction of paralytic ectropion, the lateral tarsal strip, in patients with leprosy. Read More

    Vertical-to-Horizontal Rotational Myocutaneous Flap for Repairing Cicatricial Lower Lid Ectropion: A Novel Surgical Technique.
    Biomed Res Int 2017 18;2017:8614580. Epub 2017 Oct 18.
    Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan.
    Objective: To evaluate the efficacy and complications of a novel surgical technique for cicatricial lower lid ectropion that uses a vertical-to-horizontal (V-to-H) rotational myocutaneous flap procedure (Tsai procedure).

    Methods: We performed the V-to-H rotational myocutaneous flap procedure on 20 eyelids in 20 patients with mild to moderate cicatricial lower lid ectropion. A vertical myocutaneous flap was created from the anterior lamella of the vertical pedicle in the lateral third of the lower eyelid. Read More

    Prevalence and associated factors of external punctal stenosis among elderly patients in Turkey.
    Arq Bras Oftalmol 2017 Sep-Oct;80(5):296-299
    Department of Ophthalmology, School of Medicine, Uludağ University, Bursa, Turkey.
    Purpose: To estimate the prevalence of external punctal stenosis (EPS) in the elderly population and investigate associated factors.

    Methods: A total of 278 patients ≥65 years of age were evaluated for evidence of EPS from January to July 2016. Associated systemic, ocular, demographic, and lifestyle factors were investigated. Read More

    Diseases of the retina and the optic nerve associated with obstructive sleep apnea.
    Sleep Med Rev 2018 Apr 29;38:113-130. Epub 2017 May 29.
    Grenoble Alpes University, HP2 Laboratory, INSERM U1042, Grenoble, France; Department of Ophthalmology, University Hospital of Grenoble, Grenoble, France. Electronic address:
    Many associations between ocular disorders and obstructive sleep apnea (OSA) have been studied, such as nonarteritic anterior ischemic optic neuropathy, glaucoma, papilledema, retinal vein occlusion, eyelid hyperlaxity, lower-eyelid ectropion and recurrent corneal erosions. The objective of this review is to synthetize the possible vascular disorders of the retina and the optic nerve associated with sleep apnea patients and to discuss the underlying pathophysiological hypotheses. Main mechanisms involved in the ocular complications of OSA are related to intermittent hypoxia, sympathetic system activation, oxidant stress, and deleterious effects of endothelin 1. Read More

    Comparison of Polypropylene Sling with Combined Transconjunctival Retractor Plication and Lateral Tarsal Strip for Correction of Involutional Lower Eye Lid Ectropion.
    Open Ophthalmol J 2017 31;11:285-297. Epub 2017 Aug 31.
    Department of Ophthalmology, Gurunanak eye center, Maulana Azad Medical College, New Delhi-110002, India.
    Purpose: The study aims to compare the effectiveness and complications of transconjunctival retractor plication (TRP) with lateral tarsal strip (LTS) and the polypropylene sling (PS) surgery for treatment of involutional lower lid ectropion.

    Method: A prospective randomised pilot study was conducted on 30 eyes of 30 patients suffering from epiphora having horizontal eyelid laxity >6mm and age >50 years at a tertiary care centre from December 2014 to March 2015. They were randomly divided into two equal groups for TRP with LTS (group A) and PS (group B). Read More

    Entropion and ectropion repair: a snapshot of surgical practice in the United Kingdom.
    Orbit 2017 Oct 20:1-5. Epub 2017 Oct 20.
    a Department of Oculoplastic and Orbital Surgery, Bristol Eye Hospital , University Hospitals Bristol NHS Trust , Bristol , UK.
    We aim to provide a snapshot of the current surgical practice for correction of entropion and ectropion, the two most common oculoplastic procedures carried out in the UK, by surveying 135 consultant oculoplastic surgeons via the tool Survey Monkey. Forty-seven (35%) consultants responded. For entropion, 44% of surgeons opted for lateral tarsal strip (LTS) + everting sutures (ES). Read More

    Ophthalmic manifestations in Rothmund-Thomson syndrome: Case report and review of literature.
    Indian J Ophthalmol 2017 Oct;65(10):1025-1027
    Department of Ophthalmology, Regional Institute of Ophthalmology, Bangalore Medical College and Research Institute, Minto Eye Hospital, Bengaluru, Karnataka, India.
    A 24-year-old male patient presented to us with diminution of vision in both eyes with watering and photophobia for the past 8 years. General physical examination showed short stature and poikiloderma. Ocular findings include photophobia with reflex tearing, dry eye, cicatricial ectropion, symblepharon approaching pupillary area of cornea, and multiple superficial punctuate erosions on the cornea. Read More

    Subcuticular Suture Technique: Alternative to Frost Suture to Prevent Ectropion After Transcutaneous Incision of Lower Eyelid.
    J Maxillofac Oral Surg 2017 Dec 16;16(4):508-509. Epub 2017 Mar 16.
    Department of Oral and Maxillofacial Surgery, MCODS, Manipal, India.
    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. Read More

    Congenital ectropion uveae with glaucoma: a case report.
    Int Ophthalmol 2017 Oct 12. Epub 2017 Oct 12.
    All India Institute of Medical Sciences, Patna, India.
    Congenital ectropion uveae (CEU) is a rare anomaly characterized by ectropion uveae, iris hypoplasia, iridotrabecular dysgenesis and glaucoma. The apparent ectropion uveae results from the spread of iris pigment epithelium beyond the iris ruff and onto the anterior surface of the iris. Conclusion Open-angle glaucoma results due to angle dysgenesis, so patients should be carefully examined periodically for its early detection. Read More

    [Urethral ectropion may hide a carcinoma!]
    Pan Afr Med J 2017 3;27:249. Epub 2017 Aug 3.
    Université Mohammed V, Faculté de Médecine et de Pharmacie de Rabat, Hopital Ibn Sina, Service d'Urologie B, Rabat, Maroc.
    The incidence of female urethral cancer is rare and accounts for 0.02% of all women's cancers. It is dominated by epidermoid carcinoma, which most commonly develops in the distal portion of the urethra, extending to inguinal lymph nodes. Read More

    Cyto-colpo-histologic correlation: about an analytical study of 120 colposcopies.
    Tunis Med 2016 Oct;94(10):616-620
    Problem: Cervical cancer is the second gynecological cancer Tunisian women after breast. This is a sexually transmitted disease including the role of HPV has been proven. Cervical cancer screening is possible due to the accessibility of the cervix with a speculum examination and implementation of cervical smear. Read More

    The Versatility of Cheek Rotation Flaps.
    Arch Craniofac Surg 2016 Dec 23;17(4):190-197. Epub 2016 Dec 23.
    Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea.
    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. Read More

    Is Orbital Floor Reconstruction With Titanium Mesh Safe?
    J Craniofac Surg 2017 Oct;28(7):e692-e694
    *Al-Kindy Teaching Hospital †College of Dentistry, University of Baghdad, Baghdad, Iraq.
    To reconstruct the orbital floor defects there are a lot of reconstruction materials, the surgeon must choose one of them. The authors share their experience with 10 patients suffering from orbital trauma causing orbital floor fracture; those fractures were reconstructed using titanium mesh. No complications were encountered postoperatively apart from 1 patient with ectropion. Read More

    Outcomes of lower eyelid retractor recession and lateral horn lysis in lower eyelid elevation for facial nerve palsy.
    Eye (Lond) 2018 Feb 1;32(2):338-344. Epub 2017 Sep 1.
    Corneoplastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK.
    PurposeTo report outcomes and complications of lower eyelid retractor recession and lateral horn lysis (RR) for lower eyelid elevation in patients with facial nerve palsy (FNP).Patients and methodsRetrospective review. Patients with FNP undergoing RR alone (group 1) or with adjunctive procedures (canthal suspension-group 2, tarsorrhaphy-group 3, and full-thickness skin graft-group 4) during a 5-year period were included. Read More

    Outcomes of two surgical techniques for major trichiasis treatment.
    Orbit 2018 Feb 30;37(1):36-40. Epub 2017 Aug 30.
    a Faculdade de Medicina de Botucatu , Universidade Estadual Paulista , Botucatu, Sao Paulo State , Brazil.
    The purpose of this article is to analyze the outcomes of two surgical techniques to treat major trichiasis. A retrospective chart review of 67 patients (89 eyelids) with major trichiasis was performed who underwent surgical treatment using one of two techniques: intermarginal split lamella with graft (ISLG group) or lid lamella resection (LLR group). There were 30 lids in the ISLG group with mean patient age of 71. Read More

    "The influence of orbital vector on involutional entropion and ectropion".
    Orbit 2018 Feb 30;37(1):53-58. Epub 2017 Aug 30.
    a Eye Research Center, Farabi Eye Hospital , Tehran University of Medical Sciences , Tehran , Iran.
    Purpose: This study aimed to evaluate the effect of orbital vector and other biometric parameters (i.e. axial globe length, axial globe projection) on the development of involutional entropion or ectropion. Read More

    Punctal Ectropion repair using the Raus-Garito clamp.
    Orbit 2018 Feb 30;37(1):15-20. Epub 2017 Aug 30.
    c Department of Oculoplastic Surgery, Moorfields Eye Hospital , London , United Kingdom.
    Purpose: To evaluate the results from the correction of ectropion of the punctum lacrimale in lower eyelids with a new surgical clamp.

    Design: Prospective study.

    Methods: Eighty eight eyelids in 55 patients with mild and moderate ectropion were included in the study. Read More

    Reconstruction of midface defects with the osteocutaneous radial forearm flap: Evaluation of long term outcomes including patient reported quality of life.
    Microsurgery 2017 Oct 26;37(7):752-762. Epub 2017 Aug 26.
    Department of Otolaryngology-Head & Neck Surgery, Stanford University, Stanford, California.
    Background: Maxillectomy defects significantly impair quality of life. Prosthetics can overcome some of these issues, but has limitations. The role of the osteocutaneous radial forearm free flap (OC-RFFF) has been established for reconstruction of smaller maxillectomy defects, but its role in larger defects is not well defined. Read More

    Breast cancer in a patient with Kindlers syndrome.
    J Pak Med Assoc 2017 Aug;67(8):1283-1286
    Department of Pathology, The Royal Hospital, Muscat, Sultanate of Oman..
    Breast Cancer (BC) has associated risk factors and genetic factors like BRCA1, and BRCA2. Many benign and malignant disease processes are found concurrently with BC and believed to be additional risk factors like gall bladder stones (cholelithiasis), hypertension, diabetes mellitus, cerebrovascular lesions, arthritis, spine and spinal cord degenerative lesions, infertility, depression, sleep disturbances, obesity, autoimmune diseases (SLE), and thyroid diseases. There are some malignant disease associations like synchronous or metachronous ovarian, colonic and endometrial tumours with Breast cancer. Read More

    Lateral tarsal strip plus skin-muscle flap excision in the treatment of lower eyelid involutional entropion.
    Orbit 2017 Dec 24;36(6):375-381. Epub 2017 Aug 24.
    a New England Eye Center, Tufts Medical Center , Boston , Massachusetts , USA.
    This article examines the effectiveness of skin-muscle flap excision in conjunction with a lateral tarsal strip for the treatment of involutional entropion. Ninety-six eyelids in 83 consecutive patients with involutional entropion were treated using a standardized surgical procedure. All patients underwent lower eyelid tightening with a lateral tarsal strip, dissection of a skin-muscle flap inferiorly through a subciliary incision and excision of redundant skin as well as orbicularis muscle. Read More

    Adult Orbital and Adnexal Xanthogranulomatous Disease.
    Asia Pac J Ophthalmol (Phila) 2017 Sep-Oct;6(5):435-443. Epub 2017 Aug 22.
    Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
    Purpose: Adult xanthogranulomatous disease of the orbit and ocular adnexa is a rare disease that can cause serious morbidity and mortality. Ophthalmologists are commonly the first clinicians to come in contact with affected patients and an understanding of the clinical features is essential.

    Design: We present a retrospective case series of patients seen in the oculoplastic unit of a large tertiary referral hospital over a 20-year period. Read More

    Subciliary vs. transconjunctival approach for the management of orbital floor and periorbital fractures: A systematic review and meta-analysis.
    J Craniomaxillofac Surg 2017 Oct 19;45(10):1647-1654. Epub 2017 Jul 19.
    Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center, San Antonio, USA.
    Purpose: This study compared complications between subciliary and transconjunctival approaches to the infraorbital rim/orbital floor, using systematic review and meta-analysis.

    Materials And Methods: A systematic review with meta-analysis was conducted according to PRISMA guidelines. An electronic search in PubMed, Embase, and Cochrane Library was performed. Read More

    Ectropion Improvement with Topical Tazarotene in Children with Lamellar Ichthyosis.
    Pediatr Dermatol 2017 Sep 17;34(5):584-589. Epub 2017 Aug 17.
    Department of Dermatology, University of Minnesota, Minneapolis, Minnesota.
    Background/objectives: Lamellar ichthyosis (LI) is a well-described phenotypic subtype of autosomal recessive congenital ichthyosis (ARCI). The condition typically presents at birth with collodion membrane and leads to thick, plate-like scaling of the skin throughout the body, alopecia, and prominent ocular manifestations. Ocular complications include bilateral cicatricial ectropion and lagophthalmos. Read More

    Large orbital defect reconstruction in the setting of globe-sparing maxillectomy: The titanium hammock and layered fibula technique.
    Microsurgery 2017 Aug 14. Epub 2017 Aug 14.
    Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
    Introduction: The purpose of our study was to describe a novel technique for reconstruction of orbital defects after maxillectomy using a non-anatomic titanium mesh suspension of orbital contents for both support and volume correction. This construct is then articulated with a layered fibula osteocutaneous free flap that restores orbital rim, zygoma, and maxillary alveolus. We herein present our application of this technique, including refinements over time and long-term outcomes. Read More

    Clinical, epidemiological and etiological studies of adult aseptic meningitis: Report of 11 cases with varicella zoster virus meningitis.
    Rinsho Shinkeigaku 2017 09 11;57(9):492-498. Epub 2017 Aug 11.
    Department of Neurology, Brain Attack Center, Ota Memorial Hospital.
    We treated 11 cases (52.7 ± 14.9 years, all male) with varicella zoster virus (VZV) meningitis and 437 cases with adult aseptic meningitis from 2004 to 2016. Read More

    Congenital Ectropion Uveae with Glaucoma: A Case Report.
    J Clin Diagn Res 2017 Jun 1;11(6):ND04-ND05. Epub 2017 Jun 1.
    Additional Professor, Department of Ophthalmology, Indira Gandhi Institute of Medical Science, Patna, Bihar, India.
    Congenital Ectropion Uveae (CEU) is a rare anomaly characterised by ectropion uveae, iris hypoplasia, iridotrabecular dysgenesis and glaucoma. Hyperplasia of the iris pigment epithelium and its apparent spread over the anterior surface of the iris is supposed to cause the classic ectropion uveae in CEU. Almost all patients develop open angle glaucoma due to angle dysgenesis, so they should be carefully examined periodically for its early detection. Read More

    Treatment of Children With Congenital Severe Blepharoptosis by Frontalis Aponeurosis Flap Advancement Under General Anesthesia in a Single Incision.
    J Craniofac Surg 2017 Sep;28(6):1495-1497
    Plastic Surgery Department, Children's Hospital of Fudan University, Shanghai, China.
    Purpose: This study aimed to investigate the effect of frontalis aponeurosis flap advancement in children with congenital severe blepharoptosis.

    Methods: A total of 23 cases (25 eyes) of children who had congenital severe blepharoptosis and poor levator function (≤4 mm) and received frontalis aponeurosis flap advancement treatment in the Plastic Surgery Department of the Children's Hospital of Fudan University from January 1, 2013, to January 1, 2015, were retrospectively analyzed to evaluate the postoperative effects.

    Results: All patients (age range, 6-27 months) were followed up for an average duration of 15. Read More

    Extended Transconjunctival Lower Eyelid Blepharoplasty with Release of the Tear Trough Ligament and Fat Redistribution.
    Plast Reconstr Surg 2017 Aug;140(2):273-282
    Singapore; and Toorak, Victoria, Australia From the W Aesthetic Plastic Surgery; and The Centre for Facial Plastic Surgery.
    Background: The transconjunctival lower eyelid blepharoplasty is advantageous for its quick recovery and low complication rates. Conventional techniques rely on fat removal to contour the lower eyelid. This article describes the authors' extended transconjunctival lower eyelid blepharoplasty technique that takes dissection beyond the orbital rim to address aging changes on the midcheek. Read More

    Cicatricial Ectropion Secondary to Graft-Versus-Host Disease.
    Ophthal Plast Reconstr Surg 2018 Jan/Feb;34(1):e22-e23
    Department of Ophthalmology and Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology, San Antonio Uniformed Services Health Education Consortium, San Antonio, Texas, U.S.A.
    Ocular complications of graft-versus-host disease are well documented. While skin changes due to graft-versus-host disease have been mentioned in the literature, cicatricial ectropion has not been previous reported. The authors present a case of a 31-year-old male with cicatricial ectropion secondary to graft-versus-host disease requiring treatment with a full thickness skin graft. Read More

    [Autologous tissue reconstruction of tarsal plate combined with temporal flap in repairing full-thickness lower eyelid defect].
    Zhong Nan Da Xue Xue Bao Yi Xue Ban 2017 Jun;42(6):662-666
    Department of Medical Cosmetology, First Affiliated Hospital, University of South China, Hengyang Hunan 421001, China.
    Objective: 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. Read More

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