1,842 results match your criteria Eyelid Reconstruction Lower Eyelid


Pushing the Limits in Cheek Reconstruction: The Sub-Superficial Musculo-Aponeurotic System "Deep Plane" Cervicofacial Flap for Reconstruction of Large Eyelid-Cheek Junction Defects.

J Craniofac Surg 2020 Jun 2. Epub 2020 Jun 2.

Division of Plastic and Reconstructive Surgery, Northwestern Feinberg School of Medicine.

The cervicofacial flap is a workhorse flap for reconstruction of moderate to large sized defects of the cheek. Defects that involve the eyelid-cheek junction are often the most challenging of these. While the ideal plane of dissection has been debated, it is our belief that dissection in the sub-superficial musculo-aponeurotic system (SMAS) plane provides better aesthetic and functional outcomes due to enhanced vascularity, fascial support, and additional bulk of the flap itself. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006500DOI Listing

Successful Free Bilamellar Eyelid Grafts for the Repair of Upper and Lower Eyelid Defects in Patients and Laser Speckle Contrast Imaging of Revascularization.

Ophthalmic Plast Reconstr Surg 2020 May 26. Epub 2020 May 26.

Lund University, Skåne University Hospital, Department of Clinical Sciences Lund, Ophthalmology, Lund, Sweden.

Purpose: It is generally believed that large eyelid defects must be repaired using a vascularized flap for 1 lamella, while the other can be a free graft. Recent studies indicate that the pedicle of a tarsoconjunctival flap does not contribute to blood perfusion. The purpose of this study was to explore whether large eyelid defects can be repaired using a free bilamellar eyelid autograft alone. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001724DOI Listing

Repair of orbital floor fractures via the transantral approach with osteosynthesis plate.

Oral Maxillofac Surg 2020 May 16. Epub 2020 May 16.

Department of Radiology, Russian Medical Academy of Continuous Professional Education, Moscow, Russia.

Introduction: The most common surgical access techniques employed in patients with orbital floor fractures are associated with a risk of complications, such as implant infection, migration, epiphora, lower eyelid retraction, ectropion, diplopia worsening, retrobulbar hematoma, emphysema, "white-eyed" syndrome, enophthalmia relapse, hypoglobus, and persistent diplopia due to periorbital atrophy. Consequently, alternative access techniques precluding these complications have to be found.

Study Objective: To assess the efficacy of transantral approach in the surgical treatment of patients with orbital floor fractures based on results of retrospective analysis of our clinical experience. Read More

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http://dx.doi.org/10.1007/s10006-020-00850-xDOI Listing

A Method to Reproduce Symmetry in Midfacial Reconstruction: A Report of 19 Cases.

Adv Skin Wound Care 2020 Apr 30. Epub 2020 Apr 30.

In the Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China, Xiaoli Lou, MD, PhD, is Attending Physician; and Chunyu Xue, MD, PhD, is Director. Joseph A. Molnar, MD, PhD, FACS, is Professor of Plastic and Reconstructive Surgery and Regenerative Medicine; Medical Director, Wound Care and Hyperbaric Center; and Associate Director, Burn Center, Wake Forest University School of Medicine, Winston-Salem, North Carolina. Hongda Bi, MD, PhD, is Associate Professor, Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.

Background: Reconstruction of facial skin defects remains a clinical challenge. With aging, ptosis of tissue over fixed structures creates an important facial feature known as the tear trough. This study aimed to evaluate the efficacy and aesthetic outcome of a novel surgical technique that reproduced this facial feature while avoiding ectropion during midfacial skin defect repair. Read More

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http://dx.doi.org/10.1097/01.ASW.0000661800.39497.94DOI Listing

Novel "all-in-one" sandwich technique for reconstruction of full-thickness defects of the lower eyelid: a case report.

J Int Med Res 2020 Apr;48(4):300060520918697

Department of Oral and Maxillofacial Surgery, Iuliu-Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

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http://dx.doi.org/10.1177/0300060520918697DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7175061PMC

Porcine dermal matrix sandwich graft for lower eyelid reconstruction.

Orbit 2020 Apr 16:1-7. Epub 2020 Apr 16.

John F. Hardesty, MD, Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, USA.

: To report the clinical outcomes of porcine acellular dermal matrix implants sandwiched between skin and conjunctival flaps for lower eyelid reconstruction following Mohs surgery.: A retrospective review was performed on patients with lower eyelid defects following Mohs surgery treated using a porcine acellular dermal matrix sandwich graft from 2013 to 2018. Patient demographics, defect size and characteristics, and collagen matrix implant dimensions were evaluated. Read More

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http://dx.doi.org/10.1080/01676830.2020.1755316DOI Listing

Efficacy of porcine acellular dermal matrix in the management of lower eyelid retraction: case series and review of the literature.

Graefes Arch Clin Exp Ophthalmol 2020 Apr 6. Epub 2020 Apr 6.

Orbital Plastic and Lacrimal Clinic, Royal Victorian Eye and Ear Hospital, 32 Gisborne Street, East Melbourne, VIC, 3002, Australia.

Purpose: To investigate the efficacy of Permacol™, a decellularized porcine dermal-derived membrane, as a spacer in the management of lower eyelid retraction. The efficacy of sizing and insertion was investigated, as well as complications. The literature was also reviewed to compare this material with other porcine-derived grafts in use for the management of lower eyelid retraction. Read More

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http://dx.doi.org/10.1007/s00417-020-04660-5DOI Listing

Total and near-total lower eyelid reconstruction with prefabricated orbicularis oculi musculocutaneous island flap.

Dermatol Ther 2020 Apr 3:e13372. Epub 2020 Apr 3.

Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Bulent Ecevit University, Zonguldak, Turkey.

Full thickness lower lid defects are frequently encountered during daily practice. The unique anatomy of the eyelids hinders reconstructive efforts. The aim of the study is to develop an effective and easy procedure for the reconstruction of full thickness defects of the lower eyelid. Read More

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http://dx.doi.org/10.1111/dth.13372DOI Listing

Reply: Lower Eyelid Reconstruction: A New Classification Incorporating the Vertical Dimension.

Plast Reconstr Surg 2020 Apr;145(4):878e-879e

Northwestern University Feinberg School of Medicine, Chicago, Ill., Private practice, Amman, Jordan. Northwestern University Feinberg School of Medicine, Chicago, Ill. Division of Plastic and Reconstructive, and Cosmetic Surgery, University of Illinois, Chicago Shriners Hospitals for Children, Chicago, Ill.

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http://dx.doi.org/10.1097/PRS.0000000000006666DOI Listing

Lower Eyelid Reconstruction: A New Classification Incorporating the Vertical Dimension.

Plast Reconstr Surg 2020 Apr;145(4):877e-878e

Department of Oculoplastic Surgery, Moorfields Eye Hospital, London, United Kingdom.

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http://dx.doi.org/10.1097/PRS.0000000000006665DOI Listing

Full-thickness total upper eyelid reconstruction with a lid switch flap and a reverse superficial temporal artery flap.

J Plast Reconstr Aesthet Surg 2020 Feb 18. Epub 2020 Feb 18.

Department of Plastic and Reconstructive Surgery, Sapporo Medical University school of Medicine, S1W16, Chuo-ku, Sapporo, Hokkaido 060-8543, Japan.

Background: Reconstruction of the upper eyelid with the same eyelid tissue is desirable because of the ability to achieve eye opening/closing and corneal protection, and a lid switch flap is a useful method. For total defects, almost all of the tissues of the lower eyelid should be used; however, the reconstruction of the lower eyelid donor site has often been undervalued. Reconstruction with an insufficient amount of soft tissue often results in complications such as lagophthalmos and ectropion. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.02.017DOI Listing
February 2020

Reconstruction of periorbital defects using a modified Tenzel flap.

Arch Craniofac Surg 2020 Feb 20;21(1):35-40. Epub 2020 Feb 20.

Department of Plastic and Reconstructive Surgery, Inje University Haeundae Paik Hospital, Busan, Korea.

Background: Extensive eyelid defects are extremely challenging to reconstruct. Although numerous procedures for reconstructing periorbital defects have been proposed, no method is universally used. However, the Tenzel flap is the most commonly used technique to reconstruct eyelid defects affecting one-third to two-thirds of the eyelid. Read More

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http://dx.doi.org/10.7181/acfs.2019.00577DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054187PMC
February 2020

Lacrimal Canalicular Reconstruction With Canalicular Transposition.

J Craniofac Surg 2020 May/Jun;31(3):e283-e285

Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Seoul, Korea.

Medial eyelid defects often damage the lacrimal drainage system, and reconstruction for these patients is challenging. The purpose of this report is to describe a new surgical technique for canalicular reconstruction using canalicular transposition. A 67-year-old female patient presented with an eyelid tumor diagnosed as a sebaceous cell carcinoma at the medial left lower eyelid. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006272DOI Listing
February 2020

Comparison of Clinical Outcomes of CO Laser-Assisted Blepharoplasty Using Two Different Methods.

J Oral Maxillofac Surg 2020 Jun 23;78(6):1006-1012. Epub 2020 Jan 23.

PhD of Biomaterials, Orthodontic Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address:

Purpose: Numerous methods have been developed for blepharoplasty, including carbon dioxide (CO) laser-assisted blepharoplasty. Although the superiority of CO laser compared with the scalpel for blepharoplasty has been proposed, to the best of our knowledge, no study has compared the clinical outcomes of blepharoplasty with the CO laser alone versus the combined use of a scalpel and CO laser.

Patients And Methods: In the present randomized clinical trial, 21 healthy patients underwent bilateral upper eyelid blepharoplasty. Read More

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http://dx.doi.org/10.1016/j.joms.2020.01.015DOI Listing

Assessing Free Flap Reconstruction Accuracy of the Midface and Orbit Using Computer-Aided Modeling Software.

Facial Plast Surg Aesthet Med 2020 Mar/Apr;22(2):93-99. Epub 2020 Feb 18.

Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, California.

Aesthetically pleasing and functionally stable total maxillectomy reconstruction is among the greatest of challenges within head and neck surgery. Maintaining presurgical midface projection, contour, and cheek volume requires high-fidelity restorative control incorporating the provision of stable osseous support to prevent the relatively commonplace complications of lower lid and globe malposition. To determine the difference in position of the reconstructed infraorbital rim compared with the contralateral normal side, and its effect on globe position, lower eyelid position, orbital volume, and soft tissue contour. Read More

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http://dx.doi.org/10.1089/fpsam.2019.29013.zhuDOI Listing
February 2020

Pedicled Buccal Fat Flap: An Underutilized Source of Vascularized Periorbital Volume.

Facial Plast Surg Aesthet Med 2020 Jan/Feb;22(1):61-63

TOC Eye and Face, Austin, Texas.

Pedicled buccal fat flaps have demonstrated great utility for oral reconstructions. We present a retrospective case description detailing the utility of the buccal fat pad (BFP) as an anterior maxillary flap for midfacial and lower eyelid volumization and reconstruction. A 64-year-old healthy female had undergone bilateral lower blepharoplasty with silicone tear tough implantation, complicated by infection of the right tear trough implant. Read More

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http://dx.doi.org/10.1089/fpsam.2019.29003.nakDOI Listing
February 2020

Changes in Lower Eyelid Position and Shape After Inferior Orbital Wall Reconstruction.

J Craniofac Surg 2020 May/Jun;31(3):e315-e318

Department of Ophthalmology, College of Medicine, Chung-Ang University Hospital, Seoul, South Korea.

Purpose: To use morphological measurements to analyze changes in the position and shape of the lower eyelid after inferior orbital wall reconstruction.

Methods: This study included 47 eyes from 47 patients with blowout fractures. Digital photographs were taken in primary gaze immediately before and after surgery; the degree of enophthalmos was recorded. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006150DOI Listing
February 2020

Preventing Lateral Canthal Malposition in Modern Blepharoplasty.

Plast Reconstr Surg 2020 Feb;145(2):324e-328e

Dallas, Texas From the Dallas Plastic Surgery Institute.

Current goals in lower eyelid blepharoplasty include blending the lower eyelid-cheek junction, which is highlighted in the authors' six-step lower lid blepharoplasty technique. One major question in lower lid blepharoplasty is how to prevent lower lid malposition and ectropion, because these are untoward outcomes after an aesthetic procedure. In the authors' technique, they perform a superficial lateral retinacular canthopexy that is effective and safe and also prevents lower lid malposition or ectropion. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006468DOI Listing
February 2020

The KS-Pexy: A Novel Method to Manage Horizontal Lower Eyelid Laxity.

Plast Reconstr Surg 2020 Feb;145(2):306e-315e

Vancouver, British Columbia, Canada From the Division of Plastic Surgery, Department of Surgery, University of British Columbia.

Background: Patients with horizontal lower lid laxity undergoing lower lid blepharoplasty are at a high risk for lid malposition. Prophylactic correction of horizontal lower lid laxity during blepharoplasty may alleviate this risk. In this article, the authors describe a novel lower lid blepharoplasty technique, the KS-pexy (named after its originators, Kuhnt and Szymanowski), for correcting horizontal lower lid laxity. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006484DOI Listing
February 2020

Control of the Suborbital Cheek in Pediatric Patients: Working in the Deep Plane.

Plast Reconstr Surg Glob Open 2019 Nov 27;7(11):e2559. Epub 2019 Nov 27.

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

Reconstruction of suborbital cheek and lower eyelid defects can be challenging in pediatric patients due to the need for lower eyelid support, lack of reliable local tissue, and difficulties of scar concealment. The deep-plane cervicofacial rotation-advancement flap is a useful technique for cheek reconstruction in adults; however, its utility in the pediatric population has not been described.

Methods: Experience using the deep-plane Schrudde flap for large suborbital defects in pediatric patients is presented. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002559DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6908354PMC
November 2019

Use of Extranasal Bilobed Transposition Flaps in Cutaneous Reconstructive Surgery at 2 Institutions.

Dermatol Surg 2020 Jan 9. Epub 2020 Jan 9.

Department of Dermatology, Cleveland Clinic Foundation, Cleveland, Ohio.

Background: Bilobed transposition flaps are versatile random pattern flaps used in nasal and extranasal reconstruction as they preserve free margins, access distal tissue reservoirs, and reliably repair dynamic defects.

Objective: We highlight the utility of extranasal bilobed flaps to encourage surgeons to consider these flaps for Mohs micrographic surgery defects.

Methods: A two-institution retrospective chart review of patients reconstructed using an extranasal bilobed flap after Mohs micrographic surgery was performed. Read More

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http://dx.doi.org/10.1097/DSS.0000000000002319DOI Listing
January 2020

Bioengineered Acellular Dermal Matrix Spacer Grafts for Lower Eyelid Retraction Repair: A Report by the American Academy of Ophthalmology.

Ophthalmology 2020 May 30;127(5):689-695. Epub 2019 Dec 30.

Cullen Eye Institute, Baylor College of Medicine, Houston, Texas.

Purpose: To review the literature on the efficacy and safety of bioengineered acellular dermal matrix (BADM) grafts for lower eyelid retraction repair.

Methods: A literature search was conducted in the PubMed database initially in January 2018 and updated in July 2019 to identify all studies in the English language literature on the use of BADM grafts in eyelid reconstruction. The searches yielded 193 citations, and 15 of the 34 articles selected for full review met all inclusion criteria for this assessment. Read More

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http://dx.doi.org/10.1016/j.ophtha.2019.11.011DOI Listing

Loss of Malar Bags in Lower Eyelid in Orbital Blow Out Fracture Reconstruction Following Pre- or Retro-Septal Transconjunctival Incision.

J Craniofac Surg 2020 May/Jun;31(3):769-771

Department of Clinical Sciences, Intervention and Technology, Division of Otorhinolaryngology, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden.

An isolated orbital blow out fracture may require surgical correction by accessing the infraorbital rim through a transconjunctival incision and inserting an orbital plate. The risk for aesthetic complications due to the incision has previously been well described. Sixty patients surgically treated using pre- or retro-septal transconjunctival incisions for isolated orbital blow out fractures were recruited and examined with regards to lower eyelid asymmetry. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006103DOI Listing
January 2020

[Clinical effects of expanded forehead flaps in repairing midfacial defects].

Zhonghua Shao Shang Za Zhi 2019 Dec;35(12):855-858

Institute of Plastic Surgery of PLA, Xijing Hospital, Air Force Medical University, Xi'an 710032, China.

To explore the clinical effects of expanded forehead flaps in repairing midfacial defects. From January 2003 to December 2018, 19 patients with midfacial defects were admitted to our unit, including 8 males and 11 females, aged 7 to 52 years. One cylindrical expander with rated capacity ranged from 100 to 170 mL was placed in the forehead of patients in the first stage of expansion, and the total water injection volume was about 2 times of the rated capacity of the expander during 1 to 2 months. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2019.12.005DOI Listing
December 2019

Management of orbital complications in palatomaxillary reconstruction: A review of preemptive and corrective measures.

Head Neck 2020 Mar 13;42(3):556-568. Epub 2019 Dec 13.

THANC (Thyroid, Head and Neck Cancer) Foundation, New York, New York.

Background: Reconstruction of orbit-sparing palatomaxillary defects requires consideration of globe dystopia, orbital volume, eyelid position and function, and the nasolacrimal system to preserve and optimize vision, globe protection, and appearance. We describe the fundamentals of orbital and eyelid anatomy, common orbital complications related to palatomaxillary reconstruction, and preemptive and corrective surgical techniques to be utilized during and after globe-sparing palatomaxillary reconstruction.

Methods: We present a review of the literature supplemented by clinical case examples. Read More

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http://dx.doi.org/10.1002/hed.26015DOI Listing

Lower eyelid ectropion as a sequela of different underlying diseases in maxillo-facial surgery: Diagnostics and treatment approaches.

J Craniomaxillofac Surg 2019 Dec 29;47(12):1952-1962. Epub 2019 Nov 29.

University Hospital for Oral and Plastic Maxillofacial Surgery, Martin Luther University Halle-Wittenberg, Ernst-Grube Str. 40, 06120, Halle (Saale), Germany. Electronic address:

Purpose: This study investigated the outcome of lower eyelid ectropion (LEE) treatment in patients with another primary periorbital or mid-facial pathology.

Materials And Methods: This 18-year monocentric retrospective cohort study included patients admitted for various leading mid-facial pathologies and presenting with a LEE. The primary diagnosis, surgical pretreatment, ectropion type, ectropion severity score (ESS), and surgical techniques were recorded. Read More

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http://dx.doi.org/10.1016/j.jcms.2019.11.011DOI Listing
December 2019

Analysis of Risk Factors Associated With Drooping Deformity After Lower Eyelid Reconstruction: A Newly Developed Drooping Index.

Ann Plast Surg 2020 Jun;84(6):700-704

From the Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Medical Science, Tokushima, Japan.

Background: Lower eyelid reconstruction is challenging because of the risk of severe postreconstruction deformities of the lower eyelid, such as drooping, entropion, and ectropion. However, the risk factors for these postreconstruction deformities are unclear. The present study aimed to quantify the drooping deformity of the lower eyelid after reconstruction using a cheek rotation flap and to identify risk factors associated with postreconstruction deformities. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002080DOI Listing

Canthal V-plasty for Floppy Eyelid Surgery.

Plast Reconstr Surg Glob Open 2019 Oct 29;7(10):e2464. Epub 2019 Oct 29.

Hamilton Eye Institute, University of Tennessee Health Science Center, Memphis, Tenn.

The purpose of this article is to present a modified approach to the reconstruction of the upper and lower eyelids in floppy eyelid syndrome. A retrospective chart review was performed on all floppy eyelid patients who underwent simultaneous tightening of the upper and lower eyelid with a lateral tarsal strip, using a V-shaped incision in the lateral canthus, at University of Tennessee Hamilton Eye Institute from 2011 to 2012. Preoperative symptoms, surgical outcomes, complication rates, and postoperative symptoms were recorded. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002464DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846288PMC
October 2019

Submental and Anterior Neck Originated Full-Thickness Skin Grafts for Periocular Procedures.

Ophthalmic Plast Reconstr Surg 2020 May/Jun;36(3):254-257

Corneoplastic Unit, Queen Victoria Hospital NHS Trust, East Grinstead, West Sussex, United Kingdom.

Purpose: The submental and neck regions share cutaneous features with the face and are suitable donor sites for facial full-thickness skin grafts (FTSGs). Age-related laxity and skin redundancy in the cervicomental region may be an additional motivator to use its skin. We aim to describe, raise awareness, and remind surgeons of the utilization of submental and anterior neck as sources of FTSG for the periocular region, particularly when traditional donor sites are unavailable. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001522DOI Listing
November 2019

Fat Grafting for Facial Rejuvenation Using Stromal Vascular Fraction Gel Injection.

Clin Plast Surg 2020 Jan 28;47(1):73-79. Epub 2019 Oct 28.

Department of Plastic and Cosmetic Surgery, Nanfang Hospital, Southern Medical University, 1838 Guangzhou North Road, Guangzhou, Guangdong 510515, P. R. China. Electronic address:

This study used stromal vascular fraction gel (SVF-gel), a mechanically processed fat-derived product, to treat eye bag and tear trough deformity. SVF-gel is prepared by a process of centrifugation and intersyringe shifting and is particularly rich in SVF cells and native adipose extracellular matrix. SVF-gel injection is used alone or combined with transconjunctival eye bag removal. Read More

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http://dx.doi.org/10.1016/j.cps.2019.09.001DOI Listing
January 2020

[Clinical features and surgical management of orbitotemporal neurofibromatosis].

Zhonghua Yan Ke Za Zhi 2019 Nov;55(11):828-833

Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Science Key Lab., Beijing 100730, China.

To report the clinical features and surgical treatment of orbitotemporal neurofibromatosis. It was a retrospective case series study. The clinical records of 24 patients who were treated for orbitotemporal neurofibromatosis between April 2007 and July 2017 at Beijing Tongren Hospital, Capital Medical University were analyzed. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0412-4081.2019.11.008DOI Listing
November 2019

[Acellular xenogenic dermal matrix as a spacer graft for treatment of eyelid retraction related to thyroid associated ophthalmopathy].

Zhonghua Yan Ke Za Zhi 2019 Nov;55(11):821-827

Department of Ophthalmology, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai 200011, China.

To evaluate the efficacy and safety of an acellular xenogenic dermal matrix (AXDM) as a spacer graft in the surgery to treat upper and/or lower eyelid retraction (UER/LER) in patients with thyroid associated ophthalmopathy (TAO). This was a retrospective case series study. From January 2016 to December 2017, all the TAO patients who underwent the eyelid retraction surgery with an AXDM as a spacer graft in Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine were included in the study. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0412-4081.2019.11.007DOI Listing
November 2019

Management of Traumatic Lower-Eyelid Avulsion and Complete Loss of the Lacrimal Canaliculus: A Case Report.

Case Rep Ophthalmol 2019 May-Aug;10(2):172-179. Epub 2019 May 23.

Eye Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Eyelid injuries commonly occur as a result of blunt or sharp periocular trauma. When the medial canthal region is affected, injury can be associated with canalicular laceration or avulsion. Complete loss of the lacrimal canaliculus associated with epiphora is a challenging condition, and reconstruction often leads to poor and disappointing results. Read More

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http://dx.doi.org/10.1159/000500237DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6760362PMC

Impact of the type of anterior lamellar reconstruction on the success of modified Hughes procedure.

Arq Bras Oftalmol 2020 Jan-Feb;83(1):11-18

Department of Ophthalmology, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey.

Purpose: To determine the long-term functional and cosmetic outcomes in patients who underwent modified Hughes procedure with different types of anterior lamellar reconstruction for lower eyelid defects.

Methods: This study included 58 patients who had undergone a modified Hughes flap for reconstruction of lower eyelids after tumor excision within a 10-year period. Data regarding patient demographics, size of eyelid defect, tumor pathology, surgical techniques, functional and cosmetic outcomes, and complications were recorded. Read More

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http://dx.doi.org/10.5935/0004-2749.20200011DOI Listing

Usefulness of Topical Interferon Alpha-2b Eye Drop as an Adjunctive Therapy Following Surgical Resection in Ocular Surface Squamous Neoplasia.

In Vivo 2019 Nov-Dec;33(6):2211-2215

Department of Ophthalmology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Aim: To report the clinical course of patients with ocular surface squamous neoplasia treated with topical interferon α-2b (IFNα-2b) after local excision of the tumor.

Patients And Methods: This study enrolled four consecutive Japanese patients comprising one eye with conjunctival carcinoma in situ, and three eyes with squamous cell carcinoma (SCC) diagnosed histopathologically. All of them initially visited Hokkaido University Hospital in 2016. Read More

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http://dx.doi.org/10.21873/invivo.11724DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6899090PMC

Reconstruction of the Congenital Divided Nevus of the Eyelids and Proposal of New Classification.

Plast Reconstr Surg Glob Open 2019 Jun 19;7(6):e2283. Epub 2019 Jun 19.

Department of Plastic and Reconstructive Surgery, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.

Background: Divided nevus is a rare form of congenital nevus that usually occurs on both upper and lower eyelids of one eye, forming one large nevus when the eyelids are closed. Typically, congenital melanocytic nevi of the body are classified according to their size (small < 1.5 cm, medium 1. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002283DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6635203PMC
June 2019
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Surgical Treatment of Recurrent Lower Eyelid Sebaceous Gland Carcinoma and Reconstruction with Pedicled Nasolabial and Non-vascularised Buccal Mucosal Flaps.

J Maxillofac Oral Surg 2019 Dec 12;18(4):536-538. Epub 2018 Nov 12.

Kanachur Centre for Craniofacial Anomalies, Mangalore, India.

Introduction: Sebaceous gland carcinoma of the eyelid is an uncommon but highly malignant tumour. Post-tumour excisional defect reconstruction must aim in restoration of function and aesthetics. Prompt diagnosis and adequate treatment is of paramount for successful outcome of disease. Read More

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http://dx.doi.org/10.1007/s12663-018-1171-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6795660PMC
December 2019
2 Reads

Investigation of the Longevity of the Endoscopic Midface Lift.

JAMA Facial Plast Surg 2019 Dec;21(6):535-541

Lewis Katz School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Temple University, Philadelphia, Pennsylvania.

Importance: To our knowledge, until now, the efficacy and durability of the transtemporal endoscopic preperiosteal midface lift has not been reported in the literature.

Objective: To determine the efficacy and longevity of the endoscopic preperiosteal midface lift using objective measurements and validated aesthetic scales.

Design, Setting, And Participants: This retrospective review included patients 18 years or older who were treated for aging midface by endoscopic midface lift by the senior author (A. Read More

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http://dx.doi.org/10.1001/jamafacial.2019.1015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6802057PMC
December 2019

Maintaining Quality of Life: Electrochemotherapy for Palliative Periorbital Malignancy.

Ophthalmic Plast Reconstr Surg 2019 Nov/Dec;35(6):e138-e142

Corneoplastic Unit.

Electrochemotherapy has been used successfully for treatment of recurrent head and neck skin cancers and skin metastasis. It combines both electroporation and chemotherapy. The authors report 4 patients, who all had metastatic periorbital malignancy. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001468DOI Listing
January 2020
1 Read
0.914 Impact Factor

Comparison of Hamra's and Mendelson's Models of Midface Lift.

J Craniofac Surg 2019 Nov-Dec;30(8):2632-2634

Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea.

The aim of this study was to compare Hamra's and Mendelson's models of midface lift.The terms "Hamra ST" and "Mendelson BC" were used to search PubMed, yielding 35 and 48 papers, respectively. Of the 83 abstracts, 55 were excluded and 28 full papers discussing midface lift were reviewed. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005884DOI Listing
January 2020

Complications Associated with Fat Grafting to the Lower Eyelid.

Facial Plast Surg Clin North Am 2019 Nov 30;27(4):435-441. Epub 2019 Aug 30.

Ophthalmic Plastic and Cosmetic Surgery, Inc.,12990 Manchester Road, Suite 102, Des Peres, MO 63131-1860, USA.

Fat grafting is effectively used in the lower eyelid and periorbital area for rejuvenation of the aging face. Several complications may occur with fat grafting, including volume undercorrection or overcorrection, contour irregularities, prolonged bruising and swelling, infection, granulomas and inflammation, and vascular embolization with visual loss or stroke. In many cases, complications can be effectively treated, although permanent and serious injury can occur. Read More

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http://dx.doi.org/10.1016/j.fsc.2019.07.001DOI Listing
November 2019

Management of Postblepharoplasty Lower Eyelid Retraction.

Facial Plast Surg Clin North Am 2019 Nov 30;27(4):425-434. Epub 2019 Aug 30.

Beverly Hills Ophthalmic Plastic and Reconstructive Surgery, 150 North Robertson Boulevard #314, Beverly Hills, CA 90211, USA; Orbital Center, Cedars Sinai Medical Center, Los Angeles, CA, USA; Department of Ophthalmology, Division of Oculoplastic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address:

Postblepharoplasty lower eyelid retraction is challenging and multifactorial and may occur after transcutaneous lower eyelid surgery. Surgical correction is difficult and unpredictable. Patient psyche is often negatively affected. Read More

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http://dx.doi.org/10.1016/j.fsc.2019.07.014DOI Listing
November 2019

Oncoplastic Lower Eyelid Reconstruction Analysis.

J Craniofac Surg 2019 Nov-Dec;30(8):2396-2400

Department of Plastic and Reconstructive Surgery, Juntendo University School of Medicine.

Background: Oncoplastic lower eyelid reconstruction is a challenging task due to the complicated structure of the eyelid and requirement of high operative accuracy. Poorly treated defects result in ectropion and ptosis which may lead to keratitis and corneal ulceration. Previous related studies do not include a detailed comparison of the common reconstructive methods of the lower eyelid in terms of results and complication rates. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005639DOI Listing
January 2020
1 Read
0.676 Impact Factor

Prosthesis-socket volume imbalance and dermofat graft rehabilitation in patients with an anophthalmic socket.

Arq Bras Oftalmol 2020 Jan-Feb;83(1):33-38

Department of Ophthalmology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.

Purposes: To identify problems caused by prosthesis-socket volume imbalances in anophthalmic sockets; and to evaluate rehabilitation with dermofat graft as a solution.

Methods: We retrospectively reviewed medical records of patients operated in our clinic (between May 2011 and June 2016) with dermofat grafts to treat anophthalmic socket-related problems. During the preoperative examinations, ophthalmologists recorded the presence of eyelid problems due to the socket volume deficit, upper and lower fornix deficiency, deepening in the upper eyelid sulcus, epiphora and secretion, lower eyelid laxity, ptosis, entropion, and ectropion. Read More

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http://dx.doi.org/10.5935/0004-2749.20200003DOI Listing
June 2020
2 Reads

The Extended Superficial Musculoaponeurotic System.

Clin Plast Surg 2019 Oct 18;46(4):533-546. Epub 2019 Jul 18.

Department of Plastic Surgery, Cleveland Clinic, 9500 Euclid Avenue, A60, Cleveland, OH 44195, USA. Electronic address:

The extended superficial musculoaponeurotic system (SMAS) facelift targets the 2 cardinal signs of facial aging: (1) descent of the malar fat resulting in deepening of the nasolabial folds as well as accentuation of the palpebral malar groove and tear trough deformity; (2) formation of jowls, which also obscure the definition of the lower mandibular border. In this article the authors describe the concepts behind the extended SMAS operation, importantly the extent of skin dissection and SMAS elevation. They present a brief history of the operation and landmark papers and supplement with fresh cadaver dissections. Read More

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http://dx.doi.org/10.1016/j.cps.2019.05.002DOI Listing
October 2019
4 Reads

Safety of Periocular Mohs Reconstruction: A Two-Center Retrospective Study.

Dermatol Surg 2020 Apr;46(4):521-524

Department of Dermatology, University of Minnesota, Minneapolis, Minnesota.

Background: Repair of periocular defects poses unique functional and aesthetic challenges. Data on the safety of periocular repairs by Mohs surgeons are limited.

Objective: Analyze the frequency and types of postreconstruction complications encountered with periocular repairs performed by Mohs surgeons, identify risk factors associated with complications, and enumerate interventions for complications encountered. Read More

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http://dx.doi.org/10.1097/DSS.0000000000002119DOI Listing
April 2020
3 Reads