1,592 results match your criteria Eyelid Reconstruction Upper 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

The Frontalis Muscle Flap: As a Salvage Procedure for Upper Eyelid in a Burn Patient.

J Craniofac Surg 2019 Mar 6. Epub 2019 Mar 6.

Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara Numune Training and Research Hospital, Ankara.

The ugly face of civil war shows itself in the desperate patients and their extreme sequellae. The options for reconstruction of patients with late-term serious sequellae decrease and their treatments also become more difficult. A 31-year-old male patient was injured 18 months ago due to a bomb explosion and received long-term treatment through local wound care in his country. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005348DOI Listing

The Superficial Temporal Artery Island Flap: An Option for Moustache Reconstruction.

J Craniofac Surg 2019 Mar 6. Epub 2019 Mar 6.

Kahramanmaraş Sutcu Imam University School of Medicine. Plastic, Reconstructive and Aesthetic Surgery, Kahramanmaras, Turkey.

Vascular anomalies are a group of lesions originating from blood vessels and lymphatics with varying histology and clinical behavior. They form the most common congenital anomalies in infants and children. The reconstructive method for the facial region defects varies depending on the size and position of the defect, as well as the patient's age, health status and aesthetic concerns. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005344DOI Listing
March 2019
4 Reads

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

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

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

Pre-aponeurotic Fat Prolapse Following Levator Resection for Congenital Ptosis.

J Pediatr Ophthalmol Strabismus 2019 Feb 8;56:e1-e4. Epub 2019 Feb 8.

The authors describe three children who developed excess overhanging upper eyelid tissue following unilateral levator resection for congenital ptosis. This was thought to be pre-aponeurotic fat herniation. A second procedure, a variation of sulcoplasty, was performed at a mean 4. Read More

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http://dx.doi.org/10.3928/01913913-20181017-02DOI Listing
February 2019

[Effectiveness of upper eyelid rotation flap via blepharoplasty incision for correction of mild to moderate epicanthus].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Feb;33(2):203-206

Department of Plastic and Reconstruction Surgery, Zhongda Hospital, Southeast University, Nanjing Jiangsu, 210009,

Objective: To evaluate an modified epicanthoplasty which can reduce epicanthic scar in blepharoplasty with mild to moderate epicanthus, by using upper eyelid rotation flap via blepharoplasty incision.

Methods: A clinical data of 34 patients with mild and moderate epicanthus (trial group), who were treated with blepharoplasty and epicanthoplasty by using upper eyelid rotation flap, between July 2016 and October 2017, was retrospectively analyzed. And 38 patients who were treated with blepharoplasty and epicanthoplasty by using traditional "Z" plastic method were recruited as control group. Read More

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http://dx.doi.org/10.7507/1002-1892.201805097DOI Listing
February 2019
2 Reads

Degree of Frontal Bone Exposure via Upper Blepharoplasty Incision: Considerations for Frontal Sinus Fracture.

Otolaryngol Head Neck Surg 2019 Mar 22;160(3):468-471. Epub 2019 Jan 22.

1 Department of Otolaryngology-Head and Neck Surgery, University of California Davis, Sacramento, California, USA.

Objective: The upper eyelid blepharoplasty incision affords direct access to the frontal bone for skull base surgery and trauma reconstruction with a well-hidden scar. The goal of this study is to quantify frontal bone exposure that can be achieved with an upper eyelid blepharoplasty incision.

Design: Anatomic study with human cadaver heads. Read More

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http://journals.sagepub.com/doi/10.1177/0194599818825456
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http://dx.doi.org/10.1177/0194599818825456DOI Listing
March 2019
4 Reads

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

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

Sensory Changes in Periocular Skin After Upper Eyelid Surgery.

J Craniofac Surg 2019 Jan;30(1):e62-e65

Department of Ophthalmology, Meir Medical Center, Kfar Saba.

The aim of this interventional, prospective study is to estimate the change in periocular cutaneous sensation after upper eyelid surgery. The trial included 48 eyes of 24 patients undergoing upper eyelid blepharoplasty or upper eyelid blepharoplasty and blepharoptosis repair. Eyelid sensation was measured using a Cochet-Bonnet filament-type esthesiometer at 4 predetermined anatomical locations in the upper eyelid. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004990DOI Listing
January 2019
14 Reads

Modified Upper Blepharoplasty Using Combination of Incision and Nonincision Surgical Approaches.

Authors:
Gyu Sik Jung

J Craniofac Surg 2019 Jan;30(1):235-236

Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.

Upper blepharoplasty can be divided into incision and nonincision technique. Each has its advantages and disadvantages. The author innovated a method of modified upper blepharoplasty by taking advantage of both procedures' strengths. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004912DOI Listing
January 2019
1 Read

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

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

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

Face-neck lifting and ancillary procedures: A series of 203 cases.

Medicine (Baltimore) 2018 Sep;97(39):e12333

Professor of Plastic Surgery, A-Plast Estetik, Istanbul, Turkey.

Various methods and ancillary procedures have been defined in the era of face-lifting surgery.The purpose of this study was to evaluate the esthetic outcomes of our face-neck cases and the importance of adding ancillary procedures based on individual assessment.We conducted a retrospective review of 203 face-neck cases, basically following the endoscopic and open principles of Vasconez. Read More

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http://Insights.ovid.com/crossref?an=00005792-201809280-0003
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http://dx.doi.org/10.1097/MD.0000000000012333DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181572PMC
September 2018
6 Reads

Dermis-Fat Graft for Correction of Recurrent Severe Upper Eyelid Retraction in Graves' Orbitopathy.

Acta Clin Croat 2018 Mar;57(1):173-176

University Eye Department, Faculty of Dental Medicine and Health Care Osijek, Faculty of Medicine Osijek, Josip Juraj Strossmayer University in Osijek, Sveti Duh University Hospital, Zagreb, Croatia.

Dermis-fat graft has been proven as a useful replacement tissue for eyelid and orbit reconstruction, but there is no evidence in the literature that it can be used for correction of upper eyelid retraction. This is the first report that presents two cases (four eyelids) of dermis-fat graft usage as a spacer in the treatment of severe recurrent upper eyelid retraction due to Graves' orbitopathy. Improvement was achieved with minimum complications, patient symptoms were reduced, and the results were stable almost three years after the procedure. Read More

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http://dx.doi.org/10.20471/acc.2018.57.01.23DOI Listing
March 2018
10 Reads

Upper Eyelid Approach for the Reconstruction of Isolated Fractures of the Anterior Wall of the Frontal Sinus.

J Craniofac Surg 2018 Oct;29(7):1903-1905

Loma Linda University, Loma Linda.

The management of frontal sinus fractures can vary widely depending on involvement of the anterior wall, the posterior wall, and the frontonasal duct. The main morbidity associated with isolated anterior wall fractures is an aesthetic deformity. Treatment includes coronal, endoscopic, and transcutaneous approaches. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005004DOI Listing
October 2018
8 Reads

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

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

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

Superior rectus muscle insertion injury following cosmetic upper lid blepharoplasty: a case report.

BMC Ophthalmol 2018 Jul 31;18(1):187. Epub 2018 Jul 31.

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, #81 Irwon-ro, Gangnam-gu, Seoul, 06351, Korea.

Background: Direct damage to the superior rectus (SR) muscle insertion following upper lid blepharoplasty has not been reported. We document a rare case of vertical diplopia due to direct damage to the SR muscle insertion following cosmetic upper lid blepharoplasty.

Case Presentation: We describe a case of 24-year-old woman with Asian eyelid. Read More

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http://dx.doi.org/10.1186/s12886-018-0867-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6069949PMC
July 2018
5 Reads

The Double Thread Buried Nonincisional Blepharoplasty Technique.

J Craniofac Surg 2018 Nov;29(8):2307-2309

Lamar Clinic, Daegu, Republic of Korea.

The nonincisional blepharoplasty technique is widely practiced because it is relatively simple, causes less scarring than the incisional technique, provides a quick recovery, and allows easy correction. Although various modified nonincisional techniques have been used to create a more natural appearance, complications such as loosening of the double fold and regression of the double fold line may still occur. So the authors introduce the double thread buried nonincisional blepharoplasty technique to reduce such complications. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004767DOI Listing
November 2018
6 Reads

Double eyelid surgery by using palpebral marginal incision technique in Asians.

J Plast Reconstr Aesthet Surg 2018 Oct 11;71(10):1481-1486. Epub 2018 Jun 11.

Department of Plastic and Reconstruction, Shanghai Changhai Hospital Affiliated to Second Military Medical University, 168th Chang Hai Road, Shanghai, People's Republic of China. Electronic address:

Background: Approximately 50% of Asians do not have upper eyelid creases. Full-incision methods may leave obvious scars and buried-suture methods cannot remove excess tissues to create a double eyelid. The new palpebral marginal incision technique masked the incision at the upper palpebral margin and removed the excess tissue, thereby achieving scarless and natural double eyelids. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.05.035DOI Listing
October 2018
16 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

Bilateral periorbital necrotizing fasciitis: case report.

Arq Bras Oftalmol 2018 06;81(3):239-241

Department of Ophthalmology, Faculdade de Medicina do ABC, Santo André, SP, Brazil.

Necrotizing fasciitis is a severe infection of the subcutaneous tissue characterized by necrosis of the superficial fascia and overlying skin and is usually associated with previous trauma and comorbidities. Periorbital necrotizing fasciitis is rare and commonly causes visual loss and soft tissue defects. A better prognosis relies critically on early diagnosis, prompt medical treatment, and timely surgical intervention. Read More

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http://dx.doi.org/10.5935/0004-2749.20180047DOI Listing
June 2018
6 Reads

Stable Upper Eyelid after 2 Successive Tarsoconjunctival Flaps.

Plast Reconstr Surg Glob Open 2018 May 14;6(5):e1724. Epub 2018 May 14.

Department of Ophthalmology, University of Illinois at Chicago, Chicago, Ill.

A 70-year-old male with history of multiple cutaneous squamous cell carcinoma throughout the body presented with a left lower lid margin squamous cell carcinoma. The lesion was excised via Mohs surgery elsewhere, and the defect was reconstructed with a tarsoconjunctival flap (Hughes flap). The lesion recurred, and the patient had a second Mohs surgery for excision. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001724DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999439PMC
May 2018
3 Reads

[Effectiveness of retro-orbicularis oculi fat resection in Park double eyelid surgery to correct swollen upper eyelid].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Jul;31(8):996-998

Institute of Reconstructive Plastic Surgery, Weifang Medical University, Weifang Shandong, 261042, P.R.China.

Objective: To investigate the effectiveness of retro-orbicularis oculi fat resection in Park double eyelid surgery to correct the swollen upper eyelid.

Methods: Between September 2015 and July 2016, partial resection of the retro-orbicularis oculi fat was performed on 32 cases with bilateral swollen upper eyelids in Park double eyelid surgery. There were 10 males and 22 females with an average age of 25 years (range, 19-32 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201703021DOI Listing
July 2017
4 Reads

Microanatomy of Sensory Nerves in the Upper Eyelid: A Cadaveric Anatomical Study.

Plast Reconstr Surg 2018 08;142(2):345-353

Tokyo and Kashiwa, Japan From the Department of Plastic and Reconstructive Surgery, the Institute of Education, and the Department of Clinical Anatomy, Tokyo Medical and Dental University; and the Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital East.

Background: Plastic surgery requires detailed knowledge of upper eyelid anatomy, but few authors have sufficiently described the specifics of upper eyelid nerve anatomy. This study aimed to provide a thorough description of sensory nerve anatomy in the upper eyelid and to propose considerations for upper eyelid surgery.

Methods: Sixteen orbits were dissected from 16 fixed, adult human cadavers. Read More

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http://Insights.ovid.com/crossref?an=00006534-201808000-0001
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http://dx.doi.org/10.1097/PRS.0000000000004554DOI Listing
August 2018
3 Reads

Myotarsal flap - a versatile entity for lower eyelid reconstructions.

Authors:
Hemant K Mehta

Orbit 2018 Jun;37(3):223-229

a Gwynedd District General Hospital , Gwynedd Health Authority , Bangor , UK.

The purpose is to present a new surgical technique using myotarsal (MT) flap for reconstruction of small to subtotal full thickness defects - up to 8 mm in height - of lower eyelids, without needing concomitant supplementary procedures. MT flap consists of a 3 mm tarsal strip with attached levator complex. It does not have conjunctival lining or pedicle. Read More

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http://dx.doi.org/10.1080/01676830.2018.1463547DOI Listing
June 2018
3 Reads

Outcomes after surgical resection of lower eyelid tumors and reconstruction using a nasal chondromucosal graft and an upper eyelid myocutaneous flap.

J Fr Ophtalmol 2018 May 16;41(5):412-420. Epub 2018 May 16.

Institut Curie, 26, rue d'Ulm, 75248 Paris cedex 05, France.

Introduction: Surgical excision of large malignant lower eyelid tumors may cause important full-thickness eyelid defects. The reconstruction of such defects must restore the physiologic function of the eyelid and also re-establish an acceptable aesthetic result.

Materials And Methods: We report the outcomes of full-thickness excision of tumors extending over half of the horizontal lid length, followed by reconstruction using a nasal chondromucosal graft (coming from the ipsilateral ala of the nose) and an upper eyelid myocutaneous flap. Read More

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http://dx.doi.org/10.1016/j.jfo.2017.10.008DOI Listing
May 2018
3 Reads

Combined Access for the Treatment of Medial Orbital Wall Fracture: Subciliary and Upper Eyelid Sulcus Incisions.

J Craniofac Surg 2018 Sep;29(6):1638-1641

Division of Craniomaxillofacial Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo, Brazil.

The present study presents a new surgical approach to treat medial orbital wall fractures, that is, the combined transcutaneous access through subciliary and upper eyelid sulcus incisions. The study performed the retrospective analysis of medical records belonging to 14 consecutive patients with medial orbital wall fracture, who were treated in the Plastic Surgery Division at Federal University of São Paulo, from 2005 to 2013, through the combination of subciliary and upper eyelid sulcus incisions to access the fracture foci. The mean age of the patients was 35. Read More

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http://Insights.ovid.com/crossref?an=00001665-201809000-0006
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http://dx.doi.org/10.1097/SCS.0000000000004623DOI Listing
September 2018
2 Reads

Posterior Lamellar Reconstruction of the Lower Eyelid With a Gingivoalveolar Mucosal Graft.

Authors:
Yahya Baltu

J Craniofac Surg 2018 Jun;29(4):1017-1019

Department of Plastic Reconstructive and Aesthetic Surgery, Ankara Oncology Training and Research Hospital, Ankara, Turkey.

The anterior and posterior lamellae should be simultaneously reconstructed to repair the upper and lower eyelid's full thickness defects after resection of a malignant tumor. The author described a gingivoalveolar mucosal graft for posterior lamellar reconstruction of the lower eyelid. Between November 2014 and September 2017, 11 patients (6 women, 5 men; mean age 62. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004432DOI Listing
June 2018
13 Reads

Refinements in Upper Blepharoplasty: The Five-Step Technique.

Plast Reconstr Surg 2018 05;141(5):1144-1146

Dallas, Texas From the Dallas Plastic Surgery Institute; and the Department of Plastic Surgery, University of Texas Southwestern Medical Center.

Periorbital tissues are a keystone in facial beauty and a representation of youth. The aesthetically pleasing and youthful upper eyelids are full, with a defined tarsal upper lid crease and with smooth, taut pretarsal and preseptal skin. The upper blepharoplasty is a critical component of any facial rejuvenation procedure. Read More

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http://Insights.ovid.com/crossref?an=00006534-201805000-0001
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http://dx.doi.org/10.1097/PRS.0000000000004439DOI Listing
May 2018
26 Reads

Intraoperative Adjunctive Mitomycin C and Cryotherapy for Recurrent Conjunctival Papillary Sebaceous Carcinoma.

Case Rep Ophthalmol 2018 Jan-Apr;9(1):221-226. Epub 2018 Mar 22.

Department of Ophthalmology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.

Purpose: To report a case of recurrent conjunctival papillary sebaceous carcinoma that was successfully treated by a combination of surgical resection, intraoperative topical mitomycin C application, and cryotherapy.

Observations: A woman in her 80s developed a yellowish papillary tumor pedunculated from the surface of the upper palpebral tarsal conjunctiva in her left eye. She was histopathologically diagnosed as having sebaceous carcinoma by an excisional biopsy. Read More

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http://dx.doi.org/10.1159/000487704DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5903128PMC
March 2018
6 Reads

Hatchet Flap With Transposed Nasal Inset for Midfacial Reconstruction.

Ophthalmic Plast Reconstr Surg 2018 Jul/Aug;34(4):393-395

Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, U.S.A.

Purpose: The purpose of this study is to report the surgical technique and functional outcomes of the hatchet flap with transposed nasal inset for midfacial defect repairs.

Methods: An Institutional Review Board-approved, retrospective review was performed to identify patients treated using the hatchet flap with transposed nasal inset. Patient demographics, disease etiology, defect characteristics, and postoperative complications were collected from preoperative and follow-up visits. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001114DOI Listing
August 2018
7 Reads

Upper Blepharoplasty: Management of the Upper Eyelid and Brow Complex via Transblepharoplasty Approach.

Authors:
Tuan Van Pham

Facial Plast Surg 2018 Apr 9;34(2):183-193. Epub 2018 Apr 9.

Perth Facial Plastic and Cosmetic Surgery, Perth, Western Australia, Australia.

Upper blepharoplasty is one of the more common facial plastic procedures. The upper lid and brow complex are managed together. Whether upper blepharoplasty is performed for medical or cosmetic reasons, the aim is to improve appearance while retaining natural shape and maintaining (or improving) function. Read More

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http://dx.doi.org/10.1055/s-0038-1636918DOI Listing
April 2018
32 Reads

Effect of Orbicularis Muscle Resection during Blepharoplasty on the Position of the Eyebrow.

Facial Plast Surg 2018 Apr 9;34(2):178-182. Epub 2018 Apr 9.

Department of Otolaryngology, Medical School, Federal University of Uberlandia, Uberlândia, Minas Gerais, Brazil.

Dermatochalasis is a skin excess in the upper eyelid which may be associated with either an aesthetic and functional defect, blocking the peripheral vision. Upper blepharoplasty is the gold standard procedure for correction of dermatochalasis and to restore youthful contours to the periorbita. It is one of the most commonly performed procedures in aesthetic plastic surgery; however, there is still a lack of consensus about this procedure. Read More

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http://dx.doi.org/10.1055/s-0038-1636904DOI Listing
April 2018
8 Reads

Endoscopic Browplasty.

Facial Plast Surg 2018 Apr 9;34(2):139-144. Epub 2018 Apr 9.

Lindsay House Surgery Center for Plastic Surgery, Rochester, New York.

The endoscopic brow lift has become an established procedure that can safely and reliably rejuvenate the upper third of the face. The authors discuss relevant anatomy and considerations for patient selection to optimize surgical outcomes. A detailed review of surgical technique is presented, and the potential complications and means to reduce them are discussed. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1637728
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http://dx.doi.org/10.1055/s-0038-1637728DOI Listing
April 2018
13 Reads