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    One-Stage Supramaximal Full-Thickness Wedge Resection of Vascular Lip Anomalies.
    J Oral Maxillofac Surg 2017 Mar 22. Epub 2017 Mar 22.
    Staff, Vascular Birthmark Institute of New York, Department of Otolaryngology, Lenox Hill and Manhattan Eye, Ear, and Throat Hospitals, New York, NY; Assistant Clinical Professor, Department of Ophthalmology, Harvard Medical School, Boston, MA. Electronic address:
    Purpose: Vascular lip anomalies include infantile hemangiomas, venous malformations, and arteriovenous malformations. Surgical management can be complicated by alterations in horizontal length, vertical height, and lip thickness from the underlying pathology. Additional reconstructive challenges include preservation of oral continence, vermillion definition, and the sublabial sulcus. Read More

    Chromomycosis, an unusual cause of cicatricial ectropion: a case report.
    Arq Bras Oftalmol 2017 Jan-Feb;80(1):46-48
    Centro de Referência em Oftalmologia, Hospital de Clínica Médica, Universidade Federal de Goiás (UFG), Goiania, GO, Brazil.
    Chromomycosis is a fungal infection that affects the epidermis, dermis, and subcutaneous tissue and is caused by dematiaceous fungal species that turn black on staining. We report the case of a 50-year-old male patient who was a rural worker and had been treated without success for three decades. Facial lesions progressed and caused severe cicatricial retraction. Read More

    Regression Patterns of Iris Melanoma after Palladium-103 ((103)Pd) Plaque Brachytherapy.
    Ophthalmology 2017 Apr 1. Epub 2017 Apr 1.
    The New York Eye Cancer Center, New York, New York. Electronic address:
    Purpose: To evaluate the patterns of regression of iris melanoma after treatment with palladium-103 ((103)Pd) plaque brachytherapy.

    Design: Retrospective, nonrandomized, interventional case series.

    Participants: Fifty patients with primary malignant melanoma of the iris. Read More

    Whole Exome Sequencing Identified a Novel Frameshift Mutation in SDR9C7 underlying Autosomal Recessive Congenital Ichthyosis in a Pakistani Family.
    Br J Dermatol 2017 Mar 31. Epub 2017 Mar 31.
    Medical Genetics Research Laboratory, Department of Biotechnology, Quaid-I-Azam University, Islamabad, Pakistan.
    Autosomal Recessive Congenital Ichthyosis (ARCI) is a group of cornification disorders (prevalence 1:200,000) broadly divided into three classes namely Harlequin Ichthyosis (HI; OMIM#242500), Lamellar Ichthyosis (LI; OMIM#242304) and Congenital Ichthyosiform Erythroderma (CIE; OMIM#242100). ARCI clinical features include generalized scaling, hypohidrosis and palmo-plantar hyperlinearity although presentation and severity may vary significantly. A large number of affected individuals present with collodion membrane at birth. Read More

    Comparison of two procedures for symptomatic hemorrhoidal disease: Ligation under Vision and Ferguson Hemorrhoidectomy - a retrospective cohort study.
    Pak J Med Sci 2017 Jan-Feb;33(1):90-95
    Prof. Fehmi Celebi, Department of General Surgery, Sakarya University Teaching and Research Hospital, Sakarya, Turkey.
    Objective: To compare Ligation under Vision (LUV) with Ferguson Hemorrhoidectomy (FH) in patients with Grade II, III and IV hemorrhoidal diseases according to their postoperative outcomes.

    Methods: Between July 2008 and August 2014, 155 patients underwent FH and 120 patients LUV, in Sakarya University Teaching and Research Hospital. Our retrospective analysis focuses on postoperative complications, postoperative pain and rate of recurrence. Read More

    "Vertical Midface Lifting with Periorbital Anchoring in the Management of Lower Eyelid Retraction: A Ten-Year Clinical Retrospective Study".
    Plast Reconstr Surg 2017 Mar 3. Epub 2017 Mar 3.
    1.Department of Plastic and Reconstructive Surgery, University of "Tor Vergata", Rome, Italy. 2. Villa Bella Clinic, Salò, Italy.
    Background: Lower eyelid retraction can be the unfortunate result of aesthetic surgery, trauma, disease or simply aging processes. The purpose of this article is to assess whether midface lifting based on purely vertical repositioning constitutes an effective procedure for its correction.

    Methods: A retrospective study was carried out on 199 patients (311 eyelids) operated on between January 2004 and January 2014. Read More

    Transconjunctival versus subciliary approach to the infraorbital margin for open reduction of zygomaticomaxillary complex fractures: a randomized feasibility study.
    Oral Maxillofac Surg 2017 Mar 18. Epub 2017 Mar 18.
    Ahrar Hospital, Zagazig, Egypt.
    Introduction: Although some studies addressed the differences between subciliary and transconjunctival approaches, no previous prospective comparative study on displaced zygomaticomaxillary complex (ZMC) fracture that repaired by three-point internal fixation using also upper gingivolabial incision and upper eye lid incision. So, the effect of these incisions on the comparison was not investigated.

    Purpose: The purpose of this study was to compare transconjunctival and subciliary approaches for open reduction and internal rigid fixation (OR/IF) of ZMC fractures. Read More

    Long term follow up of mucous membrane grafting for cicatricial ectropion in Ichthyosis: A case report.
    Int J Surg Case Rep 2017 Feb 16;33:21-23. Epub 2017 Feb 16.
    Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
    Introduction: Ichthyosis is a group of keratinizing diseases characterized by scaly and dry skin. One of the ocular complications associated with ichthyosis is cicatricial ectropion which often results in exposure keratopathy and eventually corneal scarring.

    Presentation Of Case: In this report we are presenting a 21-year-old female who is known to have ichthyosis-related bilateral lower lid cicatricial ectropion, which was managed with Mucous Membrane Grafting (MMG) six years ago. Read More

    Manifestation and grading of ocular involvement in patients with Tessier number 10 clefts.
    Eye (Lond) 2017 Mar 17. Epub 2017 Mar 17.
    Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.
    PurposeThe objective of this study is to evaluate and grade the extent and severity of ocular involvement in Tessier number 10 cleft.Patients and methodsA retrospective, noncomparative, interventional case series was conducted between January 2006 and December 2015. Clinical data were reviewed from 59 patients (85 eyes) with Tessier number 10 clefts. Read More

    Newly identified paired box 6 mutation of variant familial aniridia: Congenital iris ectropion with foveal hypoplasia.
    Indian J Ophthalmol 2017 Jan;65(1):55-56
    Department of Ophthalmology, Chonbuk National University Medical School and Hospital, Chonbuk National University, Jeonju, Jeonbuk, South Korea.
    Congenital aniridia is a kind of eye disease characterized by complete or partial hypoplasia of the iris and is associated with other ocular anomalies including corneal opacity, glaucoma, and foveal hypoplasia. Heterozygous mutation of paired box 6 (PAX6) gene was identified in most cases of aniridia, with iatrogenic mutations accounting for about two-third of the cases and chromosomal rearrangements accounting for the other one-third. We report rare cases of variant aniridia, congenital iris ectropion associated with foveal hypoplasia in both a woman and her son with a mutation of PAX6 gene. Read More

    Application of Kuhnt-Szymanowski Procedure to Lower Eyelid Margin Defect after Tumor Resection.
    Plast Reconstr Surg Glob Open 2017 Feb 22;5(2):e1230. Epub 2017 Feb 22.
    Department of Plastic and Reconstructive Surgery, Juntendo University School of Medicine, 2-1-1 Hongo Bunkyo-ku, Tokyo, 113-8421, Japan.
    Background: Lower eyelid reconstruction after tumor removal is always challenging, and full-thickness defects beyond half of the eyelid length require a flap from a part other than the remaining lower eyelid, such as the temporal area or the cheek.

    Objective: We aimed to report our experience of applying Smith-modified Kuhnt-Szymanowski, one of the most popular procedures for paralytic ectropion, for reconstructing oblong full-thickness lower eyelid margin defect.

    Materials And Methods: We performed Smith-modified Kuhnt-Szymanowski on 5 cases of oblong full-thickness lower eyelid margin defect after skin cancer removal. Read More

    Orbicularis oculi muscle tightening for involutional entropion.
    J Plast Reconstr Aesthet Surg 2017 Feb 17. Epub 2017 Feb 17.
    Department of Plastic and Reconstructive Surgery, Showa University Fujigaoka Hospital, Yokohama, Kanagawa, Japan.
    Aims: To describe a novel technique for involutional entropion (IE) correction and present a retrospective case study.

    Patients And Methods: The entropion eyelid was corrected by repairing the thin preseptal orbicularis oculi muscle (OOM) of the lower eyelid. Patients underwent correction with this method from 2005 to 2014 and were followed up for 2 years postoperatively. Read More

    Evaluation of moderate and severe blepharoptosis correction using the interdigitated part of the frontalis muscle and orbicularis oculi muscle suspension technique: A cohort study of 235 cases.
    J Plast Reconstr Aesthet Surg 2017 May 16;70(5):692-698. Epub 2016 Nov 16.
    Head & Neck Cosmetic Surgery Center of Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Chinese Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing 100144, PR China. Electronic address:
    Background: Blepharoptosis is defined as an abnormally low-lying upper eyelid margin in the primary gaze, causing vertical narrowing of the palpebral fissure. It is difficult to achieve consistently satisfactory results in moderate or severe cases despite many surgical methods being available to correct them.

    Methods: Between January 2001 and December 2014, a retrospective cohort study was conducted using medical records and perioperative photographs of 235 patients. Read More

    Comorbidity profiles among women with postcoital bleeding: a nationwide health insurance database.
    Arch Gynecol Obstet 2017 Apr 28;295(4):935-941. Epub 2017 Feb 28.
    Department of Nursing, Central Taiwan University of Science and Technology, No. 666, Buzih Road, Beitun District, Taichung, 40601, Taiwan, Republic of China.
    Purpose: Most of the existing studies on postcoital bleeding (PCB) in Western countries. To date, no study has focused on the various PCB-related comorbidities in Taiwan women. This work aims to analyze and compare the presence or absence of PCB among Taiwanese women with gynecological comorbidity. Read More

    A Modified Bifurcated Periosteal Flap for Simultaneous Reconstruction of Upper and Lower Lateral Canthal Tendons.
    J Craniofac Surg 2017 Feb 22. Epub 2017 Feb 22.
    Department of Oculoplastic, Orbital, and Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Japan.
    A bifurcated periosteal flap is useful for simultaneous reconstruction of the upper and lower lateral canthal tendons. The original technique harvested the flap horizontally from the frontal process of the zygoma, which mostly resulted in an insufficient flap length because of the narrowness of the zygoma. Here, the authors report the use of a modified bifurcated periosteal flap, raised from the superolateral orbital rim. Read More

    Congenital Ichthyosis: A Case Treated Successfully With Acitretin.
    Iran J Pediatr 2016 Oct 26;26(5):e2442. Epub 2016 Jul 26.
    Department of Pediatrics, Adana Numune Research and Training Hospital, Adana, Turkey.
    Introduction: Lamellar ichthyosis (collodion baby) is a cornification disorder classified under the category of autosomal recessive congenital ichthyosis and characterized by hyperkeratosis. Early-stage retinoid treatment has been shown to improve survival in these patients. In this article, a lamellar ichthyosis case is presented of an infant who had the symptoms at birth and was treated successfully with acitretin. Read More

    Micro Free Orbital Fat Grafts to the Tear Trough Deformity during Lower Blepharoplasty.
    Plast Reconstr Surg 2017 Feb 13. Epub 2017 Feb 13.
    1.Private Practice, Atlanta, GA 2.Emory University School of Medicine, Atlanta, GA.
    Background: The tear trough deformity is challenging in lower eyelid rejuvenation. Surgical treatment has evolved with more modern techniques preserving orbital fat and using autologous fat transposition. The author reviewed his own experience in targeting the tear trough in lower lid blepharoplasty and presented a new technique that incorporates the addition of micro free fat grafts which adds direct volume to the underlying anatomical depression using a transcutaneous skin-muscle approach. Read More

    Congenital upper eyelids ectropion in Down's syndrome.
    GMS Ophthalmol Cases 2017 3;7:Doc03. Epub 2017 Feb 3.
    Department of Oculoplastic and Orbit, Institute of Ophthalmology, "Conde de Valenciana", México City, México.
    Congenital bilateral ectropion of the upper eyelids is a rare, benign condition reported in ophthalmic literature. It is more frequently associated with Down's syndrome, ichthyosis, and sporadic cases in newborns from black population. We report three cases of congenital bilateral upper eyelid ectropion associated with Down's syndrome. Read More

    Recurrent Conjunctival Myofibrosarcoma Managed With Triple Application of Episcleral Brachytherapy.
    Cornea 2017 May;36(5):628-630
    *Department of Ophthalmic Oncology, Cole Eye Institute, Cleveland Clinic, Cleveland, OH; †Department of Pathology, The Ohio State University, Columbus, OH; ‡Department of Ophthalmology, Northwestern Medicine, Chicago, IL; and §Department of Pathology, Cleveland Clinic, Cleveland, OH.
    Purpose: To report a case of recurrent conjunctival myofibrosarcoma treated with wide surgical excision, cryotherapy, and triple sequential applications of episcleral brachytherapy.

    Methods: A single case of recurrent conjunctival myofibrosarcoma.

    Results: A 54-year-old man with a history of a renal transplant presented with a recurrent conjunctival tumor. Read More

    Activation of p38 and Erk Mitogen-Activated Protein Kinases Signaling in Ocular Rosacea.
    Invest Ophthalmol Vis Sci 2017 Feb;58(2):843-848
    Department of Ophthalmology, Albany Medical College, Albany, New York, United States 5Department of Molecular and Cellular Physiology, Albany Medical College, Albany, New York, United States.
    Purpose: Rosacea-related cutaneous inflammation is a common cause of ocular surface disease. Currently, there are no specific pharmacologic therapies to treat ocular rosacea. Here, we aimed at determining the differences in intracellular signaling activity in eyelid skin from patients with and without ocular rosacea. Read More

    Endoscopic dacryocystorhinostomy following head and neck radiation therapy.
    Orbit 2017 Feb 6;36(1):30-34. Epub 2017 Feb 6.
    a Department of Ophthalmology, Division of Oculoplastic Surgery , University of Washington , Seattle , Washington , USA.
    This article determines the efficacy of endoscopic dacryocystorhinostomy (endoDCR) in patients who have undergone adjuvant external beam radiation therapy (XRT) following head and neck cancer resection. A retrospective chart review was performed on all patients who underwent endoDCR between 2006 and 2014 at a tertiary referral center. Cases were reviewed and selected for the following inclusion criteria: history of adjuvant sinonasal XRT following head and neck cancer resection, preoperative probing and irrigation demonstrating nasolacrimal duct obstruction (NLDO), postoperative probing and irrigation following silicone tube extubation. Read More

    [Long-term results of the compatibility of a coralline hydroxyapatite implant as eye replacement].
    Ophthalmologe 2017 Feb 3. Epub 2017 Feb 3.
    Augenklinik, Asklepios Klinik Barmbek, Hamburg, Deutschland.
    Background: Coralline hydroxyapatite has been used since 1983 as volume replacement. Through 2001, a total of 200 hydroxyapatite implants were used in our department.

    Objective: This prospective study was undertaken to measure the subjective and objective long-term tolerance of this implant. Read More

    Comparison Between Botulinum Toxin A Injection and Lacrimal Punctal Plugs for the Control of Post-LASIK Dry Eye Manifestations: A Prospective Study.
    Ophthalmol Ther 2017 Feb 2. Epub 2017 Feb 2.
    Ophthalmology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
    Introduction: Laser in situ keratomelieusis (LASIK) is one of the commonest refractive procedures performed nowadays. The dry eye problem is nearly universal in all patients after LASIK and it can be so annoying that the post-operative patient satisfaction is sometimes precluded. Conventional treatment includes the use of artificial tears. Read More

    A young Botswana patient with congenital iris ectropion uvea.
    Pan Afr Med J 2016 29;25:42. Epub 2016 Sep 29.
    Department of Anaesthesia and Critical care Medicine, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
    Congenital iris ectropion is a rare condition; non-progressive anomaly characterised by the presence of iris pigment epithelium on the anterior surface of the iris stroma and is frequently associated with anterior iris insertion, dysgenesis of the drainage angle and glaucoma. This paper describes unusual case of bilateral case of congenital iris ectropion in adult patient with pupillary abnormality, normal anterior chamber angle structure and with no evidence of glaucoma. Read More

    [Surgery of Lower Eyelid Ectropion with the Tarsal Strip Procedure, Using Absorbable or Non-Absorbable Sutures for Periosteal Fixation].
    Klin Monbl Augenheilkd 2017 Jan 30;234(1):59-63. Epub 2017 Jan 30.
    Augenklinik, Universitätsklinikum Carl Gustav Carus, TU Dresden.
    Purpose Tightening of the lower eyelid is often performed and many techniques are available. This paper describes the outcome of lower eyelid ectropion repair using the lateral tarsal strip procedure. Periosteal fixation of the tarsal strip can be performed with absorbable or non-absorbable sutures. Read More

    Posterior Medial Canthal Thermoplasty.
    Ophthal Plast Reconstr Surg 2017 Jan 25. Epub 2017 Jan 25.
    Royal Eye Infirmary, Derriford Hospital, Plymouth, United Kingdom, PL6 8AJ.
    Purpose: To describe a new, simple, quick, and minimally invasive surgical technique for managing medial canthal tendon laxity.

    Methods: The technique works by creating a directed posterior lamellar scar. Sutures are preplaced in firm medial canthal tissue, and a triangular diathermy burn is made between this fixation point and the medial tarsal plate (sparing the canaliculus). Read More

    A New Technique for Total Reconstruction of the Lower Lid.
    Ann Plast Surg 2017 Feb;78(2):171-177
    From the *Division of Plastic Surgery, Bodrum Acibadem Hospital, Muğla; and †Division of Plastic Surgery, Mustafa Kemal University, Hatay, Turkey.
    Background: Although several methods have been described for total lower eyelid reconstruction, it remains as a major challenge in reconstructive surgery. Here, we present a new technique, the Mutaf unequal Z-plasty procedure for reconstruction of defects of the lower eyelid.

    Methods: In this technique, 2 skin flaps designed in an unequal Z-plasty manner are used to provide skin coverage. Read More

    Acceptable clinical outcomes and recommended reconstructive strategies for secondary maxillary reconstruction with vascularized fibula osteomyocutaneous flap: A retrospective analysis.
    J Plast Reconstr Aesthet Surg 2017 Mar 14;70(3):341-351. Epub 2016 Dec 14.
    Department of Oral Maxillofacial - Head Neck Oncology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China. Electronic address:
    Background: We conducted a retrospective analysis of the clinical outcomes and evaluated the reconstructive strategies in patients who underwent secondary maxillary reconstruction with a vascularized fibula osteomyocutaneous flap (VFOF).

    Methods: From May of 2001 to June of 2014, 34 patients who underwent secondary maxillary reconstruction with VFOF, with or without titanium mesh, were reviewed. The patients were divided into two groups of maxillary reconstruction, according to different planning and treatment strategies. Read More

    Lower Eyelid Complications in Facial Fracture Surgery.
    J Craniofac Surg 2017 Mar;28(2):391-393
    *Stockholms Craniofacial Center, Department of Reconstructive Plastic Surgery, Karolinska University Hospital †Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm ‡Department of Oral and Maxillofacial Surgery, Örebro University Hospital, Örebro, Sweden.
    Background: Facial fractures may lead to sequelae due to the trauma but also as a result of surgery. Complications to lower eyelid incisions include ectropion, scleral show, entropion, canthal malposition, and lid edema. The aim of this study was to compare the occurrence of such complications depending on whether a subciliary or transconjunctival incision was used for surgical access. Read More

    Management of Zygomatic Fractures in Young Patients: Technical Modifications for Aesthetic and Functional Results.
    J Craniofac Surg 2016 Nov;27(8):2073-2077
    *Department of Medicine and Surgery, Unit of Maxillofacial Surgery†Department of Medicine and Surgery‡Department of Medicine and Surgery, Unit of Plastic Surgery, University of Salerno, Salerno§Department of Medicine and Surgery, Unit of Maxillofacial Surgery, Antonio Cardarelli Hospital, Naples, Italy||Department of BioMolecular Sciences¶Department of Radiation Oncology, University of Mississippi Medical Center, Jackson, MS.
    Introduction: The zygomaticomaxillary complex is very vulnerable to injury because of its intrinsically prominent convexity. There are 2 different surgical approaches for the therapy of these fractures: closed reduction and open reduction. In the open reduction 2 or 3 fixation points with related incisions are usually necessary in dislocated fractures: osteosynthesis must be performed starting from zygomaticofrontal suture when dislocated at this site, followed by zygomatic body fixation on the anterior sinus wall, anterior orbital floor margin fixation, and finally orbital floor reconstruction in case of eye globe dislocation with diplopia. Read More

    Analysis of Extended Transconjunctival Approach With Lateral Paracanthal Incision: A Study Among Classical Methods of Orbital Approach and New Method.
    J Craniofac Surg 2016 Nov;27(8):2050-2054
    Department of Plastic and Reconstructive Surgery, University of Ulsan College of Medicine, Seoul Asan Medical Center, Seoul, Korea.
    Although the subcilliary or conventional transconjunctival approach has been widely used, it often fails to get acceptable visual fields or scars. This study directly compared the extended transconjunctival approach accompanied by lateral paracanthal incision with other traditional approaches in terms of surgical fields, the outcomes and complications. This retrospective chart review included 113 patients (82 males and 31 females; mean age: 38. Read More

    DEBS - a unification theory for dry eye and blepharitis.
    Clin Ophthalmol 2016 9;10:2455-2467. Epub 2016 Dec 9.
    Department of Ophthalmology, Nassau University Medical Center, Hofstra University School of Medicine, East Meadow, NY, USA.
    For many years, blepharitis and dry eye disease have been thought to be two distinct diseases, and evaporative dry eye distinct from aqueous insufficiency. In this treatise, we propose a new way of looking at dry eye, both evaporative and insufficiency, as the natural sequelae of decades of chronic blepharitis. Dry eye is simply the late form and late manifestation of one disease, blepharitis. Read More

    Improved Management of Harlequin Ichthyosis With Advances in Neonatal Intensive Care.
    Pediatrics 2017 Jan 20;139(1). Epub 2016 Dec 20.
    Department of Dermatology, State University of New York Downstate Medical Center, Brooklyn, New York;
    Harlequin ichthyosis (HI) is the most severe phenotype of the autosomal recessive congenital ichthyoses. HI is caused by mutations in the lipid transporter adenosine triphosphate binding cassette A 12 (ABCA12). Neonates are born with a distinct clinical appearance, encased in a dense, platelike keratotic scale separated by deep erythematous fissures. Read More

    The Need for Overcorrection When Using a Suborbital Cervicofacial Hike Flap.
    J Craniofac Surg 2017 Jan;28(1):122-124
    *Department of Plastic and Reconstructive Surgery, New York University †Division of Plastic and Reconstructive Surgery, Northwell Health, New York, NY.
    Background: The senior author has previously described a deep-plane cervicofacial hike flap as a workhorse for reconstruction mid-cheek defects. One important modification commonly used involves overcorrection of the defect in order to reduce the incidence of ectropion. This report outlines the senior author's experience in surgical treating complex cheek defects with an overcorrected deep-plane cervicofacial hike flap. Read More

    Ectropion and Conjunctival Mass in a Patient with Primary Bilateral Conjunctival Amyloidosis.
    Case Rep Ophthalmol Med 2016 16;2016:5610753. Epub 2016 Nov 16.
    Department of Ophthalmology, American University of Beirut Medical Center, Beirut, Lebanon.
    Background. Amyloidosis is a group of disorders characterized by deposition of an extracellular protein, known as amyloid, in an abnormal fibrillar form with highly characteristic histopathologic staining properties. The clinical presentation can vary from a focal, localized lesion where amyloidosis has minor clinical consequences to extensive systemic disease that can involve any organ system of the body. Read More

    Indication for and Limitation of the Facial Dismasking Flap Approach for Skull Base Surgery to Achieve the Best Esthetical and Functional Results.
    Ann Plast Surg 2017 Jan;78(1):49-53
    From the *Department of Plastic and Reconstructive Surgery, †Department of Otolaryngology, Tokyo Medical and Dental University, Tokyo; ‡Department of Neurosurgery and Head, and §Department of Neck Surgery, Kameda Medical Center, Chiba, Japan.
    Background: The facial dismasking flap (FDF) approach to operations on the deep skull base region consists of a coronal incision and a circumpalpebral incision. This approach provides a wide surgical field for extirpation of deep extended craniofacial tumors without leaving any undesirable scars on the face. Therefore, the FDF approach can provide satisfactory esthetical and functional results. Read More

    Unclassified Axenfeld-Rieger Syndrome: A CASE SERIES and Review of Literature.
    Semin Ophthalmol 2016 Dec 8:1-8. Epub 2016 Dec 8.
    b Glaucoma Diagnostics Service , LV Prasad Eye Institute , Bhubaneswar , Odisha , India.
    Purpose: To report anterior segment features in unclassified anterior segment dysgenesis with overlapping features of Axenfeld-Rieger syndrome and other developmental anomalies.

    Methods: This retrospective study included those with atypical or overlapping features in one or both eyes, which were identified as unclassified ASD. Typical ARS was defined as the presence of posterior embryotoxon with or without iris changes like stromal hypoplasia, corectopia, polycoria, or ectropion uvea with or without systemic features. Read More

    Single-stage soft tissue reconstruction and orbital fracture repair for complex facial injuries.
    J Plast Reconstr Aesthet Surg 2017 Feb 11;70(2):e1-e6. Epub 2016 Nov 11.
    Department of Ophthalmology, The Second Hospital of Dalian Medical University, Dalian, Liaoning Province, China. Electronic address:
    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. Read More

    Concomitant extraspinal hyperostosis and osteoporosis in a patient with congenital ichthyosis.
    Clin Cases Miner Bone Metab 2016 May-Aug;13(2):157-159. Epub 2016 Oct 5.
    The Royal Melbourne Hospital, The University of Melbourne, Parkville, VIC, Australia.
    Ichthyosiform dermatosis is a term referred to a group of disorders that have as their basis a disorder of keratinization (1). These conditions which are present at birth result in a generalized dry, scaly skin without any inflammation. There are several types of ichthyosis based on their clinical presentation and mode of inheritance. Read More

    Management lacrimal sac abscesses using lacrimal probe and crawford silicon tube.
    BMC Ophthalmol 2016 Nov 30;16(1):211. Epub 2016 Nov 30.
    Eye Center, Second Affiliated Hospital of Zhejiang University School of Medicine, No. 88 Jiefang Rd, Hangzhou, 310009, China.
    Background: Treatment of lacrimal sac abscess of the traditional surgical approach may result in complications from cutaneous fistula formation, damage the sac, cause skin scarring and even have the potential for inducing cicatricial ectropion. We designed a new treatment scheme that is expected to achieve internal drainage with the use of lacrimal probe and crawford silicon tube.

    Methods: A prospective study was performed for the management of lacrimal sac abscesses. Read More

    Personalized Reconstruction of Traumatic Orbital Defects Based on Precise Three-Dimensional Orientation and Measurements of the Globe.
    J Craniofac Surg 2017 Jan;28(1):172-179
    *Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital, Fujian Medical University; Research Institute of Facial Restoration and Reconstruction, Fujian Medical University †Department of Mathematics Physical and Computer Education, Fujian Medical University, Fuzhou, Fujian Province, China.
    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. Read More

    Periorbital Scar Correction.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):25-36
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Washington School of Medicine, Seattle, WA, USA; Division of Facial Plastic and Reconstructive Surgery, Department of Neurological Surgery, University of Washington School of Medicine, Seattle, WA, USA. Electronic address:
    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. Read More

    Epidemiology of ocular disorders presumed to be inherited in three large Italian dog breeds in Italy.
    Vet Ophthalmol 2016 Nov 11. Epub 2016 Nov 11.
    Ophthalmology, Centro Veterinario Torinese, Lungo Dora Pietro Colletta 147, Torino, 10153, Italy.
    Objective: To describe the epidemiology and the types of eye disorders that are presumed to be inherited (PIED) in three large Italian dog breeds.

    Animals: Three large Italian dog breeds: Neapolitan Mastiff (FCI code: 197), Maremma Sheepdog (FCI code: 201), and Italian Corso dog (FCI code: 343).

    Procedures: All dogs that underwent a complete ophthalmic examination between 1992 and 2012 were included in this prospective observational study. Read More

    Optical Coherence Tomography Angiography Characteristics of Iris Melanocytic Tumors.
    Ophthalmology 2017 Feb 14;124(2):197-204. Epub 2016 Nov 14.
    Casey Eye Institute, Oregon Health and Science University, Portland, Oregon. Electronic address:
    Purpose: To evaluate tumor vasculature with optical coherence tomography angiography (OCTA) in malignant iris melanomas and benign iris lesions.

    Design: Cross-sectional observational clinical study.

    Participants: Patients with iris lesions and healthy volunteers. Read More

    Lipograft in cicatricial ectropion.
    Ann Ital Chir 2016 ;87:466-469
    Aim: Cicatricial ectropion is secondary to an excessive scar contraction after trauma, burns, skin conditions, scarring skin tumours, medication, allergies, blepharoplasty complications 1,2. The estimates for ectropion incidence following removal of eyelid lesions have been reported as varying from 2.5% to 7% 3. Read More

    Use of Cyanoacrylate Glue Casting for Stabilization of Periocular Skin Grafts and Flaps.
    Ophthal Plast Reconstr Surg 2016 Nov 10. Epub 2016 Nov 10.
    Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, U.S.A.
    Purpose: To examine a novel technique for periocular skin graft and flap stabilization using cyanoacrylate glue applied to the host bed around the perimeter of the graft or flap to create an immobile cast in the immediate postoperative period to promote successful graft take and stable anatomic position.

    Methods: Retrospective review was performed of a single surgeon's patients who underwent periocular skin graft or flap between August 1, 2011, and February 29, 2016, in which cyanoacrylate glue was applied postoperatively for graft stabilization. Data examined included indication for procedure, location and size of graft, postoperative complications, and length of follow up postoperatively. Read More

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