1,702 results match your criteria Eyelid Reconstruction Lower Eyelid


The Flip-Back Myocutaneous Advancement Flap for Periocular Reconstruction.

Ophthalmic Plast Reconstr Surg 2019 Mar 18. Epub 2019 Mar 18.

Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, Florida.

Purpose: To present a novel myocutaneous flap for anterior lamellar reconstruction.

Methods: Retrospective interventional case series of consecutive patients who underwent Mohs reconstruction using the flip-back flap. Operations were performed by a single surgeon (DTT) between January 2012 and May 2016. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001377DOI Listing
March 2019
1 Read

Lateral Canthal Clefts of the Eyelid.

Ophthalmic Plast Reconstr Surg 2019 Mar 8. Epub 2019 Mar 8.

Division of Plastic Surgery, Rio de Janeiro State University. Rio de Janeiro, Brazil.

Purpose: Facial clefts are congenital anomalies classified by Tessier based on their anatomical position. Tessier 8 craniofacial clefts extend from the lateral canthus to the temporal region, including bone cleft at the frontozygomatic suture, and it is characterized by the interposition of a strip of skin at the lateral canthus that disrupts the continuity of the orbicularis muscle, preventing its normal functioning.

Methods: This is a retrospective study of 6 patients with congenital eyelid coloboma, of whom 5 underwent surgery for the removal of dermolipoma and reconstruction of the lateral canthus. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001353DOI Listing
March 2019
1 Read

Wedge resection of the tarsal plate combined with the modified Hotz procedure for correction of involutional lower eyelid entropion.

Can J Ophthalmol 2019 Feb 24;54(1):102-105. Epub 2018 Apr 24.

Department of Ophthalmological Plastic Surgery, Affiliated Eye Hospital, Wenzhou Medical University, Wenzhou, China.

Objectives: To investigate the outcomes for correction of involutional lower eyelid entropion by wedge resection of the tarsus combined with the modified Hotz procedure.

Design: Retrospective study.

Participants: Patients with lower eyelid involutional entropion that was surgically repaired by wedge resection of the tarsal plate combined with the modified Hotz procedure. Read More

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http://dx.doi.org/10.1016/j.jcjo.2018.02.010DOI Listing
February 2019

Ablative fractional resurfacing in acute care management of facial burns: a new approach to minimise the need for acute surgical reconstruction.

J Burn Care Res 2019 Mar 7. Epub 2019 Mar 7.

Burns Unit, Hospital Rd, Concord Repatriation General Hospital, Sydney NSW Australia.

Background: Current evidence suggests awaiting for scars to fully mature prior to engaging surgical reconstruction unless acute indications to prevent secondary damage, such as microstomia and eyelid ectropion are apparent.

Aim: To evaluate the efficacy of ablative fractional CO2 laser intervention early in the acute treatment of panfacial burn injury.

Methods: A 39-year old Asian male with 60% TBSA flame burns including panfacial involvement was developing microstomia and upper and lower eyelid ectropion early proceeding epithelialization. Read More

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http://dx.doi.org/10.1093/jbcr/irz030DOI Listing

The Aesthetic Oculoplastic Surgery Video Teleconference Consult.

Aesthet Surg J 2019 Feb 28. Epub 2019 Feb 28.

Department of Ophthalmology, Division of Oculoplastic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA.

Background: SKYPE video telemedicine consults are gaining popularity to evaluate patients from distant locations. No study has analyzed the utility of this means of patient evaluation in a cosmetic oculoplastic patient population.

Objective: To provide an evidence-based analysis of the utility of SKYPE video consults in a cosmetic oculoplastic surgery patient population with regards to patient demographics, reasons for consult, and procedural conversion rate. Read More

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http://dx.doi.org/10.1093/asj/sjz058DOI Listing
February 2019

Combined Transverse Incision and Pouch Incision for the Correction of Medial Epicanthus.

J Craniofac Surg 2019 Feb 20. Epub 2019 Feb 20.

Shanghai Basilica Plastic Surgery Clinic, Shanghai, China.

Background: The epicanthal fold is a distinct characteristic of the upper eyelid in many Asians. To achieve satisfactory results, epicanthoplasty is usually performed with double eyelid plasty and blepharoptosis. Although many surgical procedures have been reported for the elimination of epicanthal folds, such as recurrence, copious designs, conspicuous scar, and unnatural palpebral contours are challenges to the surgeon and also make patients worried. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005222DOI Listing
February 2019

Short Runs for a Long Slide: Principalization in Complex Facial Restoration after Acid Attack Burn Injury.

Craniomaxillofac Trauma Reconstr 2019 Mar 3;12(1):75-80. Epub 2018 Aug 3.

Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Burn injuries are responsible for a significant portion of surgically treatable morbidity throughout the world and particularly in underdeveloped and developing countries. Intentional flame, chemical, and contact burns are unfortunately a common mechanism of injury. It is estimated that intentional chemical burns are responsible for between 2 and 20% of burn injuries seen at burn centers in lower income countries. Read More

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http://dx.doi.org/10.1055/s-0038-1668511DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391277PMC

The palatal mucosal graft: The adequate posterior lamellar reconstruction in extensive full-thickness eyelid reconstruction.

Ann Chir Plast Esthet 2019 Feb 19. Epub 2019 Feb 19.

Department of Plastic surgery, University, Hôpital Civil, CHU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg, France. Electronic address:

Introduction: Full-thickness eyelid defects exceeding 25% of the eyelid width should benefit from a skillful, immediate and simultaneous reconstruction of two layers; anterior and posterior lamella. In this article, we recall, through an original series of cases, the possibility of using a palatal fibromucosal graft during the reconstruction of the posterior lamella as well as the modalities of its optimal use.

Patients And Methods: Retrospective study, including 8 patients with an extensive full-thickness eyelid defect affecting more than half of the upper and/or lower eyelid, after tumor excisions. Read More

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http://dx.doi.org/10.1016/j.anplas.2019.01.007DOI Listing
February 2019

Facial fold and crease development: A new morphological approach and classification.

Clin Anat 2019 Feb 20. Epub 2019 Feb 20.

Department of Biological and Material Sciences in Dentistry, School of Dentistry, Faculty of Health, Witten/Herdecke University, Witten, Germany.

Facial folds and creases are established descriptive anatomical terms for structures of which the morphological characteristics and origins are not clearly defined. The aim of this study was to perform a morphological investigation of the nasolabial fold (NLF), mandibular fold (MF), deep transverse forehead (DTFC), infraorbital fold (IOF) and upper eyelid fold (UEF), correlating their phenotypes to differences in the superficial musculoaponeurotic system (SMAS), noting morphological differences and similarities. Full-graft tissue blocks of skin, subcutaneous tissue, and mimic muscles collected postmortem were studied histologically. Read More

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http://dx.doi.org/10.1002/ca.23355DOI Listing
February 2019

Periorbital necrotising fasciitis secondary to scratching.

Arch Soc Esp Oftalmol 2019 Feb 4. Epub 2019 Feb 4.

Servicio de Oftalmología, Hospital Universitari i Politècnic La Fe, Avinguda de Fernando Abril Martorell 106, 46026, Valencia, España.

An 80 year-old woman with no relevant medical history, consulted for worsening of right palpebral itching and pain after an insect bite. Her eyelids had areas of laceration due to scratching, which rapidly progressed to fibrinoid necrosis over the first 24hours. Lesions were cultivated, revealing Streptococcus pyogenes and Staphylococcus aureus. Read More

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http://dx.doi.org/10.1016/j.oftal.2019.01.005DOI Listing
February 2019
1 Read

Functional reconstruction of total upper eyelid defects with a composite radial forearm-palmaris longus tenocutaneous free flap: A report of two cases.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

Department of Plastic and Reconstructive Surgery, Osaka Medical College, Osaka, Japan.

This report presents reconstruction of wide- and full-thickness upper eyelid defects with a composite radial forearm-splitting palmaris longus tendon flap, which maintains eyelid opening and closing functions and supporting tissue in a Meibomian gland carcinoma in the right upper eyelid (case 1) and Merkel cell carcinoma in the right upper eyelid (case 2). After tumor resection with excisional margins, the defects involved the muscle, tarsal, and mucosa, with defect sizes of 60 × 40 mm and 85 × 40 mm, respectively. A radial forearm flap with the palmaris longus tendon was transferred. Read More

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http://doi.wiley.com/10.1002/micr.30410
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http://dx.doi.org/10.1002/micr.30410DOI Listing
January 2019
14 Reads

Rhomboid blepharoplasty and cryotherapy for the treatment of a squamous cell carcinoma on the lower eyelid in a horse.

Clin Case Rep 2019 Jan 11;7(1):40-46. Epub 2018 Nov 11.

Queen Mother Hospital for Animals Royal Veterinary College North Mymms, Hertfordshire UK.

A rhomboid blepharoplasty can be used to achieve functional and cosmetic eyelid reconstruction at the medial canthus in the horse. Combination of a rhomboid blepharoplasty with cryotherapy is a treatment option for eyelid ocular squamous cell carcinomas. Read More

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http://dx.doi.org/10.1002/ccr3.1907DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333075PMC
January 2019

Lower eyelid tension balance reconstruction: A new procedure for the repair of congenital epiblepharon with epicanthus.

J Plast Reconstr Aesthet Surg 2018 Dec 14. Epub 2018 Dec 14.

Eye Hospital of Wenzhou Medical University, No. 270, Xueyuan West Road, Wenzhou, 325027 Zhejiang, PR China. Electronic address:

Background: Congenital epiblepharon with epicanthus (CEE) is a common eyelid malposition in Asian children, which generally involves the lower eyelid. The induced cilial entropion may cause constant ocular irritation that requires surgical repair. The purpose of this study is to report the outcomes and surgical details of a novel procedure, lower eyelid tension balance reconstruction (LETBR), for the correction of CEE. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815183044
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http://dx.doi.org/10.1016/j.bjps.2018.12.002DOI Listing
December 2018
1 Read

Simultaneous Lateral Tarsal Strip and Medial Spindle Procedures for Cicatricial Ectropion.

Dermatol Surg 2019 Jan 4. Epub 2019 Jan 4.

University of Washington School of Medicine, Spokane, Washington.

Background: Lateral tarsal strip (LTS) and medial spindle (MS) procedures are surgical techniques used to address cicatricial ectropion.

Objective: To evaluate the clinical characteristics and efficacy of simultaneous LTS and MS procedures for repair of cicatricial ectropion occurring after dermatologic surgeries.

Methods: A retrospective review of all cases of symptomatic, cicatricial, lateral, and medial punctal ectropion in 1 author's (C. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001757DOI Listing
January 2019
2 Reads

Usefulness of the orbicularis oculi myocutaneous flap in periorbital reconstruction.

Arch Craniofac Surg 2018 Dec 27;19(4):254-259. Epub 2018 Dec 27.

Department of Dermatology, Pusan National University Hospital, Busan, Korea.

Background: The esthetic and functional outcomes of periorbital defect reconstruction are very important because of the complex anatomy and specialized functions of this region. The orbicularis oculi myocutaneous (OOMC) flap is useful for the reconstruction of periorbital defects. But, according to the location and depth of the defects, the reconstruction using OMC flaps with various techniques is rare. Read More

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http://dx.doi.org/10.7181/acfs.2018.02019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325325PMC
December 2018

Laterally Based Orbicularis Oculi Myocutaneous Flap: Revisiting for the Secondary Ectropion Correction.

J Craniofac Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seoul, Korea.

Background: The management of lower eyelid ectropion is considered a challenge. Lower eyelid ectropion is conventionally reconstructed with a full-thickness skin graft or a local flap. However, complications as scar contracture and the recurrence of ectropion frequently occur. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005081DOI Listing
December 2018
2 Reads

Recurrence of periocular basal cell carcinoma and squamous cell carcinoma after Mohs micrographic surgery: a retrospective cohort study.

Br J Dermatol 2018 Dec 11. Epub 2018 Dec 11.

Department of Dermatology, Erasmus MC, Dr. Molewaterplein 40, 3015 GD, Rotterdam, the Netherlands.

Background: Despite the widespread use of Mohs micrographic surgery (MMS) for periocular basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) - together called keratinocyte carcinoma (KC) - follow-up data regarding recurrences are limited.

Objectives: To investigate the recurrence rate for periocular KCs after MMS and to describe our experience with interdisciplinary collaborations.

Methods: Patients with periocular KCs treated with MMS between 2006 and 2016 in a tertiary MMS referral hospital were included in this retrospective cohort study. Read More

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http://dx.doi.org/10.1111/bjd.17516DOI Listing
December 2018
1 Read

A New Technique for Reconstruction of Medium-Sized Eyelid Defects (A Modification of Tessier Nasojugal Flap).

Facial Plast Surg 2018 Dec 4;34(6):657-662. Epub 2018 Dec 4.

Department of Plastic and Reconstructive Surgery, Urmia University of Medical Sciences, Imam Khomeini Teaching Hospital, Urmia, West Azerbaijan, the Islamic Republic of Iran.

Eyelid reconstructions are considered challenging surgical procedures, which are mostly performed due to trauma, tumor resections, and congenital defects. Several techniques can be used to reconstruct the lower eyelid defects. In this study, the authors aimed to introduce a new single-step technique for the reconstruction of medium-sized lower eyelid defects while preventing ectropion. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676050
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http://dx.doi.org/10.1055/s-0038-1676050DOI Listing
December 2018
10 Reads

[Use of the autologous dorsal dermis in reconstruction of the posterior palpebral lamella in blepharopoiesis].

Ann Chir Plast Esthet 2019 Feb 30;64(1):44-53. Epub 2018 Nov 30.

Département de chirurgie plastique, reconstructrice, brûlés, plaies et cicatrisation, CHU Lapeyronie, 371, avenue de Doyen Gaston Giraud, 34295 Montpellier, France. Electronic address:

Objectives: Blepharopoiesis represents a double aesthetic and functional challenge. If anterior lamellar reconstruction is less discussed, the variety of posterior lamellar substitutes testifies that none is ideal. We report here our experience of the use of autologous dermal dermis as posterior lamellar substitutes in bilamellar blepharopoiesis. Read More

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http://dx.doi.org/10.1016/j.anplas.2018.07.006DOI Listing
February 2019
4 Reads

Outcome of secondary intention healing of full thickness lower eyelid defects in dogs.

J Small Anim Pract 2018 Nov 26. Epub 2018 Nov 26.

Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North 4474, New Zealand.

Objectives: To assess healing of the canine lower eyelid without anatomical reconstruction.

Materials And Methods: The study is a retrospective case series, three client-owned dogs with lower eyelid defects. Dogs that underwent debridement of lower eyelid wounds that were left to heal by secondary intention were assessed for anatomical, functional and aesthetic outcomes. Read More

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http://doi.wiley.com/10.1111/jsap.12966
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http://dx.doi.org/10.1111/jsap.12966DOI Listing
November 2018
12 Reads

Surgical correction of residual facial deformity following conservative excision of a giant maxillary ossifying fibroma: A case report.

Medicine (Baltimore) 2018 Nov;97(47):e13186

Department of Plastic and Reconstructive Surgery.

Rationale: Ossifying fibroma (OF) is a benign fibro-osseous lesion that can develop in the oral and maxillofacial region. OF is more common in females and has a marked predilection for the mandible, occurring rarely in the maxilla. Lesions grow slowly and are usually asymptomatic until growth produces an obvious swelling, pain, paresthesia, and facial deformity. Read More

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http://dx.doi.org/10.1097/MD.0000000000013186DOI Listing
November 2018
13 Reads

Modification of the Lazy-T Procedure for Correction of Punctal Ectropion.

J Craniofac Surg 2019 Jan;30(1):226-227

Department of Oculoplastic, Orbital, and Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Japan.

The Lazy-T procedure is used to correct moderate-to-severe punctal ectropion in the lower eyelid. It includes full-thickness wedge resection of the medial lower eyelid and horizontal tarso-conjunctival diamond excision inferior to the lower punctum. However, the skin wound vertical to the relaxed skin tension lines is often conspicuous and horizontal excision of a part of the tarsus may impair function of the meibomian gland. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004722DOI Listing
January 2019
13 Reads

Lamellar rotation surgery: a new procedure for repairing upper eyelid defects.

Authors:
Qingji Li

BMC Ophthalmol 2018 Nov 7;18(1):291. Epub 2018 Nov 7.

Department of Oculoplastic and Reconstructive Surgery, Tianjin Aier Eye Hospital, No.102, Fukang Road, Nankai District, Tianjin, 300190, People's Republic of China.

Background: To report "Lamellar Rotation Surgery",a new technique for repairing large and moderate full-thickness upper eyelid defects.

Methods: A two-stage technique is described in which a vertical incision is made in the tarsus of the lower eyelid with elevation of the lateral posterior lamella while sparing the lower eyelid orbicularis and skin to be rotated superiorly to form the reconstructed posterior lamella of the upper eyelid. Additionally, a lateral periosteal flap is used to reconstruct the lateral canthal tendon, and a McGregor procedure is used to reconstruct the anterior lamella of the upper eyelid. Read More

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https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12
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http://dx.doi.org/10.1186/s12886-018-0958-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6222999PMC
November 2018
12 Reads

Perfusion Monitoring Shows Minimal Blood Flow From the Flap Pedicle to the Tarsoconjunctival Flap.

Ophthalmic Plast Reconstr Surg 2018 Oct 30. Epub 2018 Oct 30.

Department of Clinical Sciences Lund, Ophthalmology, and.

Background: A previous study in pigs has shown that the pedicle of the tarsoconjunctival flap does not appear to have adequate blood perfusion. The aim of this study was to monitor perfusion in tarsoconjunctival flaps in patients with large lower eyelid defects resulting from tumor surgery.

Methods: The modified Hughes procedure was performed in 13 patients. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001250DOI Listing
October 2018
4 Reads

Appraisal of the Free Ulnar Flap Versatility in Craniofacial Soft-tissue Reconstruction.

Plast Reconstr Surg Glob Open 2018 Sep 5;6(9):e1863. Epub 2018 Sep 5.

Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, N.Y.

The unique anatomical characteristics of the forearm region make it especially popular as a free flap donor site for craniofacial soft-tissue reconstruction. The free ulnar forearm flap is less hirsute and allows for better concealment of donor site scar as compared with its radial counterpart. Despite these factors, the free radial forearm flap remains more popular among reconstructive surgeons. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001863DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191208PMC
September 2018
9 Reads

Long Term Cosmetic and Functional Results of One Stage Reconstruction for Lower Eyelid Malignant Melanoma: A Single Centre Experience of Eleven Patients.

J Maxillofac Oral Surg 2018 Dec 30;17(4):625-629. Epub 2016 Jun 30.

2ENT Department, S. Orsola Malpighi University Hospital, Bologna, Italy.

Introduction: Eyelid malignant melanoma represents less than 1 % of all skin melanomas and approximately 1 % of all malignant neoplasms of the eyelid skin. Because of its relative rarity, there is a paucity of descriptive papers reporting only small series of reconstructed patients. The repair of eyelid defects represents a reconstructive challenge. Read More

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http://link.springer.com/10.1007/s12663-016-0932-4
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http://dx.doi.org/10.1007/s12663-016-0932-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181842PMC
December 2018
9 Reads

The Use of a Double Suture and Conjunctival Cuts in the Lateral Tarsal Strip: A New Approach to Involutional Ectropion.

J Craniofac Surg 2018 Nov;29(8):2312-2315

Department of Biomedical Sciences, Eye Clinic, University of Messina, Messina.

Purpose: To describe the use of a double suture and conjunctival cuts in the lateral tarsal strip (LTS) and to evaluate postsurgical outcome in patients with severe involutional ectropion.

Methods: A prospective randomized study was conducted on 16 eyelids of 8 patients with symptomatic severe involutional ectropion. The 8 patients were between 62 and 79 years. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004838DOI Listing
November 2018
3 Reads

Changes in Tear Meniscus Height Following Lower Blepharoplasty as Measured by Optical Coherence Tomography.

Korean J Ophthalmol 2018 Oct;32(5):344-352

Department of Ophthalmology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

Purpose: The lower eyelid serves important roles in tear distribution and drainage. The purpose of this study was to measure the tear meniscus height (TMH) with anterior segment optical coherence tomography after lower blepharoplasty.

Methods: A total of 52 eyes from 26 patients treated between July 2012 and June 2015 were included in the study. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.3341/kjo.2017.01
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http://dx.doi.org/10.3341/kjo.2017.0125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6182218PMC
October 2018
12 Reads

Use of a perforator/subcutaneous pedicled propeller flap for reconstruction of lower eyelid defects.

Authors:
Asım Uslu

J Plast Reconstr Aesthet Surg 2019 Jan 20;72(1):119-124. Epub 2018 Sep 20.

Department of Plastic and Reconstructive Surgery(,) Antalya Training and Research Hospital(,) Varlık, Kazım Karabekir Cd.(,) 07100 Antalya(,) Turkey. Electronic address:

Full-thickness skin grafts (FTSGs) and flaps from the upper eyelid or cheek can be used for reconstruction of lower eyelid defects, including the anterior lamella. However, the upper eyelid has a limited and insufficient amount of skin, whereas cheek flaps have a restricted arch of rotation. Here we report the procedure and outcomes of a perforator/subcutaneous pedicled propeller flap for reconstruction of lower eyelid defects including the anterior lamella. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.09.006DOI Listing
January 2019
19 Reads

Using a "Mutaf Triangular Flap" for Lower Eyelid Reconstruction.

Actas Dermosifiliogr 2018 Dec 26;109(10):917-919. Epub 2018 Sep 26.

Servicio de Dermatología, Complejo Asistencial Universitario de León, León, España.

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http://dx.doi.org/10.1016/j.ad.2018.01.011DOI Listing
December 2018
1 Read

Case report of Wolfe grafting for the management of bilateral cicatricial eyelid ectropion following severe burn injuries.

Ann Med Surg (Lond) 2018 Oct 12;34:58-61. Epub 2018 Sep 12.

Department for Plastic and Reconstructive Surgery, Canton Hospital Zenica, 72000 Zenica, Bosnia and Herzegovina.

Introduction: Eye lid reconstruction followed by severe, extensive body and facial burns represents a surgical challenge due to difficulties to obtain proper, healthy skin graft, tissue ischemia and necrosis.

Presentation Of Case: We present a reconstructive lid surgery of cicatricial bilateral lower eyelid ectropion in a case of 31-year-old man who sustained thermal injuries, affecting more than 60% of total body surface area, causing severe, deep dermal burns. Reconstruction was made using the technique of skin cantus-to-cantus incision, contracture release, orbicularis liberation and lid elevation; and oversizing free full-thickness skin graft (FTSG) (Wolfe technique) from the left inguinal region, as the only healthy skin on the entire body surface. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S20490801183015
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http://dx.doi.org/10.1016/j.amsu.2018.07.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143745PMC
October 2018
5 Reads

Resurfacing with Ablation of Periorbital Skin Technique: Indications, Efficacy, Safety, and 3D Assessment from a Pilot Study.

Photomed Laser Surg 2018 Oct 20;36(10):541-547. Epub 2018 Sep 20.

8 Istituto di diagnosi e terapie dermatologiche ed estetiche (ISDET) , Bari, Italy .

Objectives And Background: Nowadays, several approaches for skin rejuvenation of the lower eyelid are available. We present a new technique of resurfacing with ablation of periorbital skin (RAP) performed in a single session.

Methods: This is a retrospective study involving 20 patients showing skin elastosis with or without evidence of the nasojugal fold and atrophic and dyschromic skin or needing a combined approach of transconjuntival lower blepharoplasty for fat bag removal. Read More

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https://www.liebertpub.com/doi/10.1089/pho.2018.4479
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http://dx.doi.org/10.1089/pho.2018.4479DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199626PMC
October 2018
15 Reads
1.580 Impact Factor

Postoncological lacrimal duct reconstruction: A practical classification system for reconstructive planning and short-term results of a case series.

J Plast Reconstr Aesthet Surg 2018 Dec 3;71(12):1796-1803. Epub 2018 Aug 3.

Department of Plastic, Reconstructive and Hand Surgery, Ziekenhuisgroep Twente, Geerdinksweg 141, 7555 DL Hengelo, The Netherlands. Electronic address:

Background: Surgical resection of skin tumors in the medial canthal area may damage the lacrimal duct and can result in chronic epiphora. Postoncologic reconstruction of the lacrimal duct has not been studied extensively. The current study discusses the anatomical and functional features of the lacrimal duct. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.07.024DOI Listing
December 2018

The Boomerang Epicanthoplasty: A Technique That Avoids Hooding.

J Craniofac Surg 2018 Oct;29(7):1813-1816

iWELL Plastic Surgery Clinic, Seoul.

Redraping is an increasingly common epicanthoplasty method. However, hooding usually remains at the medial part of the upper eyelid. The authors innovated a modification of redraping epicanthoplasty using excision, resulting in a boomerang-shaped defect that does not lead to hooding of the medial upper eyelid. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005014DOI Listing
October 2018
10 Reads

Staged excision of primary periocular basal cell carcinoma: absence of residual tumour in re-excised specimens: a 10-year series.

Br J Ophthalmol 2018 Sep 4. Epub 2018 Sep 4.

Sheffield Ocular Oncology Service, Royal Hallamshire Hospital, Sheffield, UK.

Aims: The aim is to study staged periocular basal cell carcinoma (BCC) excision in a tertiary oculoplastic referral centre in Sheffield, UK. In particular, we examined patients with close or positive margins and no tumour seen on re-excision to identify demographics and tumour characteristics in this population.

Methods: A retrospective review of medical records of 437 cases of staged periocular BCC excisions over a 10-year period (2007-2017) was carried out. Read More

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http://dx.doi.org/10.1136/bjophthalmol-2018-312441DOI Listing
September 2018
2 Reads

Reversed skin graft combining with lip mucosa transplantation in treating recurrent severe symblepharon: A case report.

Medicine (Baltimore) 2018 Aug;97(35):e12168

Department of Plastic and Reconstructive Surgery, The First Hospital of Jilin University, Changchun, Jilin, China.

Rationale: Recurrent symblepharon is very difficult to cure. Techniques applied in symblepharon with no recurrence or low recurrent rate is rare and vital.

Patients Concerns: A 12-year-old boy with severe symblepharon caused by firework underwent 2 surgeries for treating severe symblepharon. Read More

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http://dx.doi.org/10.1097/MD.0000000000012168DOI Listing
August 2018
7 Reads
5.723 Impact Factor

Lower Eyelid Reconstruction Using a Nasolabial, Perforator-based V-Y Advancement Flap: Expanding the Utility of Facial Perforator Flaps.

Ann Plast Surg 2019 Jan;82(1):46-52

From the Division of Plastic Surgery, Mayo Clinic.

Background: Reconstruction of the lower eyelid represents a unique challenge to the reconstructive surgeon. Studies evaluating the utility of the nasolabial V-Y advancement flap in lower eyelid reconstruction are limited and techniques to optimize outcomes following eyelid reconstruction with this technique are not well described. We seek to evaluate our experience and outcomes with lower eyelid reconstruction using the nasolabial perforator-based V-Y advancement flap. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001576DOI Listing
January 2019
3 Reads

Linear basal cell carcinoma of the lower eyelid: Reconstruction with a musculocutaneous transposition flap.

JAAD Case Rep 2018 Aug 20;4(7):633-635. Epub 2018 Jul 20.

Department of Dermatology, University Clinic of Navarra, Pamplona, Navarra, Spain.

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http://dx.doi.org/10.1016/j.jdcr.2018.03.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6072646PMC

Hard palate-dermis fat composite graft for reconstruction of contracted anophthalmic socket.

Orbit 2018 Aug 8:1-6. Epub 2018 Aug 8.

a Department of Ophthalmology , Bascom Palmer Eye Institute, University of Miami Miller School of Medicine , Miami , FL , USA.

Purpose: To describe a novel technique of using a hard palate-dermis fat composite graft (HPDFG) for reconstruction of a contracted anophthalmic socket.

Methods: Retrospective, noncomparative, interventional case series of four patients who underwent HPDFG placement by one surgeon between 2010 and 2017.

Results: Six harvested HPDFGs were placed in four patients with contracted anophthalmic sockets. Read More

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https://www.tandfonline.com/doi/full/10.1080/01676830.2018.1
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http://dx.doi.org/10.1080/01676830.2018.1505920DOI Listing
August 2018
16 Reads

Modified Temporalis Muscle Flap for Eyelid Reanimation.

J Craniofac Surg 2018 Oct;29(7):e649-e654

Department of Plastic Reconstructive and Aesthetic Surgery, Celal Bayar University Faculty of Medicine, Manisa.

The reanimation of both upper and lower paralytic eyelids requires dynamic procedures for longevity of correction. Temporalis muscle ensures the criteria for reanimation and is used widely as a result. Many modifications were described to improve the success of the classical technique. Read More

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http://Insights.ovid.com/crossref?an=00001665-900000000-9541
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http://dx.doi.org/10.1097/SCS.0000000000004692DOI Listing
October 2018
12 Reads

Combined orbital decompression and lower eyelid retraction surgery.

J Curr Ophthalmol 2018 Jun 9;30(2):169-173. Epub 2018 Jan 9.

Private Practice, Beverly Hills, CA, USA.

Purpose: Orbital decompression and lower eyelid retraction surgery are traditionally performed separately in staged fashion, which may be unnecessary. Herein, we evaluate the safety and efficacy of combined orbital decompression and lower eyelid retraction surgery.

Methods: Retrospective analysis of patients undergoing combined orbital decompression and lower eyelid retraction surgery in patients with or without Graves orbitopathy, by one surgeon from 2016 to 2017. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24522325173019
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http://dx.doi.org/10.1016/j.joco.2017.12.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033775PMC
June 2018
5 Reads

Anatomical description of the upper tarsal plate for reconstruction.

Surg Radiol Anat 2018 Oct 9;40(10):1105-1110. Epub 2018 Jul 9.

Department of Anatomy, Faculty of Medicine, Ege University, 35100, Izmir, Turkey.

Background: Reconstruction of the upper eyelids following traumatic, congenital and tumor surgeries is often difficult owing to a variety of reasons including the influence of the lacrimal system, visual system and aesthetic appearance. In most cases of the reconstruction in the upper eyelid tarsal plate is the main anatomical area that should be protected against the damage. The aim of this study is to investigate the types and the measurements of the tarsal plate of the upper eyelids in Anatolian population. Read More

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http://dx.doi.org/10.1007/s00276-018-2064-7DOI Listing
October 2018
14 Reads

Controversies in periocular reconstruction for facial nerve palsy.

Authors:
Richard C Allen

Curr Opin Ophthalmol 2018 Sep;29(5):423-427

Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA.

Purpose Of Review: Periocular rehabilitation of the patient with a facial nerve palsy has evolved over time. Although protection of the ocular surface is paramount, application of disfiguring tarsorrhaphies should be utilized only in special situations. The purpose of this review is to discuss current surgical and medical strategies in treatment of the periocular area in patients with facial nerve palsy to give maximal functional and cosmetic results. Read More

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http://dx.doi.org/10.1097/ICU.0000000000000510DOI Listing
September 2018
27 Reads

The Orbital Oval Balance Principle: A Morphometric Clinical Analysis.

Plast Reconstr Surg 2018 10;142(4):451e-461e

Groningen, Zwolle, and Heerenveen, The Netherlands; and San Francisco, Calif. From the Department of Plastic Surgery, University and University Medical Centre of Groningen; the Department of Clinical Psychology, University of Groningen; Bergman Clinics; and Marten Clinic & Plastic Surgery, San Francisco, Calif.

Background: The aim of this study was to test the validity of the "orbital oval balance principle," a system of analysis and guideline that is used among aestheticians, artists, and makeup artists to create and design aesthetically pleasing eyebrows for optimal upper facial appearance. According to this principle, a face is optimally attractive when the eye is centered in an "oval" defined by the lid-cheek junction and the eyebrow.

Methods: One hundred participants were asked to rank digital morphed images of four female models with four different periorbital proportions: higher or lower lid-cheek junction versus higher or lower eyebrow position. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004805DOI Listing
October 2018
2 Reads

Management of a Lower Eyelid Defect.

Dermatol Surg 2018 12;44(12):1627-1630

Division of Dermatology, Albert Einstein College of Medicine, Bronx, New York.

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http://dx.doi.org/10.1097/DSS.0000000000001596DOI Listing
December 2018

Direct Excision of the Lower Eyelid: A Safe and Effective Method for Treating Dermatochalasis and Pigmentation.

Facial Plast Surg 2018 Aug 28;34(4):412-418. Epub 2018 Jun 28.

Department of Otolaryngology - Head and Neck Surgery, Rutgers Robert Wood Johnson Medical School New Brunswick, New Brunswick, New Jersey.

The subciliary and skin pinch approaches are the most widely accepted techniques for treating dermatochalasis of the lower eyelid. Direct excision (DE) is an accepted method for treating festoons; however, it is not a popular technique for the treatment of dermatochalasis and pigment of the lower lid. DE of the lower lid offers a safe and excellent aesthetic result for dermatochalasis and pigment of the lower lid, without causing lower lid malposition, which can occur with more traditional methods. Read More

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http://dx.doi.org/10.1055/s-0038-1666787DOI Listing
August 2018
15 Reads