scholarly journals Tail flap for eyelid reconstruction: An alternative to the Tenzel flap

2021 ◽  
pp. 21-28
Author(s):  
Golam Haider ◽  
Syeed Mehbub UI Kadir ◽  
Mukti Rani Mitra ◽  
Tanjila Hossain
Keyword(s):  
Reconstructive Surgery ◽  
Case Series ◽  
Lower Eyelid ◽  
Treacher Collins Syndrome ◽  
Juvenile Xanthogranuloma ◽  
Upper Eyelid ◽  
Eyelid Reconstruction ◽  
Triangular Flap ◽  
Case Series Study ◽  
Upper Lid

Purpose: To describe a technique of eyelid reconstruction with the tail flap method and also to evaluate the post-surgical outcome in a group of patients. Methods: This was a prospective case series study on nine patients who had undergone an eyelid reconstruction with the tail flap method. The study had been conducted from July 2014 to July 2019. The follow-up continued for six months to one year. Results: A total of nine patients with ten eyelid defects, 2 (22%) patients had unilateral eyelid coloboma, 1 (11%) had lower lid defect associated with Treacher-Collins syndrome,1 (11%)with bilateral upper eyelid coloboma, only one eyelid undergone lid reconstructive surgery associated with craniofacial anomalies,1 (11%) with Juvenile xanthogranuloma of the left upper eyelid,1(11%) with Basal cell carcinoma in the right upper lid, 3(34%) with Meibomian gland carcinoma 2 in lower eyelid and 1 in upper lid undergone lid reconstructive surgery with triangular flap. Among nine patients, a total of ten eyelid defects were repaired with the triangular flap technique, 5 (50%) in the upper eyelid and 5 (50%) in the lower eyelid. The eyelid defects were completely repaired with tail flap in all patients. All patients were evaluated preoperatively and postoperatively. The cosmetic outcomes of surgical intervention were excellent in 5(50%) cases, good in 3(30%) cases, fair enough in 2(20%) cases. Conclusions: Tail flap is an alternative surgical method to the well-established Tenzel flap in eyelid reconstruction. Keywords: Tail Flap; Tenzel Flap; Eyelid Defect; Lid reconstruction

First-Ray Radiographic Changes After Flexible Adult Acquired Flatfoot Deformity Correction

2021 ◽  
pp. 107110072110345
Author(s):  
Chien-Shun Wang ◽  
Yun-Hsuan Tzeng ◽  
Tzu-Cheng Yang ◽  
Chun-Cheng Lin ◽  
Ming-Chau Chang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hallux Valgus ◽  
Reconstructive Surgery ◽  
Case Series ◽  
Deformity Correction ◽  
Level Of Evidence ◽  
Factors Affecting ◽  
Radiographic Parameters ◽  
Case Series Study ◽  
Adult Acquired Flatfoot Deformity

Background: Adult acquired flatfoot deformity (AAFD) and hallux valgus (HV) are common foot and ankle deformities. Few studies have reported the changes in radiographic parameters of HV after reconstructive surgery for AAFD. This study aimed to evaluate the changes in radiographic parameters of HV and analyze the risk factors for increased HV after correction of AAFD. Methods: Adult patients with flexible AAFD who underwent similar bony procedures including medializing calcaneal osteotomy and Cotton osteotomy were included. Radiographic parameters were measured on weightbearing radiographs preoperatively, postoperatively, and at the final follow-up. Patients were divided into hallux valgus angle (HVA) increased and HVA nonincreased groups; logistic regression analysis was performed to identify risk factors affecting increased HV. Results: Forty-six feet of 43 patients were included. After AAFD reconstructive surgery, the tibial sesamoid position improved by 1 grade, but the HVA increased 4 degrees in average. Further, 21 of 46 feet (46%) showed an HVA increase ≥5 degrees immediately after AAFD correction surgery. Preoperative talonavicular coverage angle <21.6 degrees was a risk factor associated with HV increase immediately after the surgery. Conclusion: In this case series, using plain radiographs to measure standard parameters of foot alignment, we found the association between AAFD correction and HV deformity measures somewhat paradoxical. Correction of overpronation of the hindfoot and midfoot appears to improve the first metatarsal rotational deformity but may also increase HVA. A lower preoperative talonavicular coverage angle was associated with an increase of the HVA after surgery. Level of Evidence: Level IV, case series study.

Surgical Management of the Paralyzed Eyelid

1993 ◽  
Vol 72 (10) ◽  
pp. 692-701 ◽  
Author(s):  
Monte S. Keen ◽  
John D. Burgoyne ◽  
Scott L. Kay
Keyword(s):  
Critical Analysis ◽  
Lower Eyelid ◽  
Facial Nerve Paralysis ◽  
Upper Eyelid ◽  
Nerve Paralysis ◽  
Eyelid Closure ◽  
Corneal Abrasion ◽  
Tarsal Plate ◽  
Analysis Of Results ◽  
Upper Lid

The most devastating sequelae of the facial nerve paralysis is the loss of eye lid function. The inability to blink, lubricate and protect the globe can lead to exposure keratitis, corneal abrasion and even the loss of vision. Eyelid closure is approximately 85% upper eyelid and 15% lower eyelid. In order to ensure adequate protection of the globe, deficiencies of both eyelids must be addressed. We report our experience with 20 patients with eyelid paralysis. Upper lid reanimation was performed by the placement of gold lid weights on the tarsal plate. Lower lid reanimation procedures included lateral canthopexy and horizontal lid shortening. A discussion of the above-mentioned procedures, the timing of the procedures and a critical analysis of results will be included. A comprehensive approach to the management of the paralyzed eye will be presented.

Island orbicularis oculis myocutaneous flap from the upper eyelid for lower eyelid reconstruction

1998 ◽  
Vol 21 (5) ◽  
pp. 246-248 ◽  
Author(s):  
E. Porfiris ◽  
P. Georgiou ◽  
C. V. Popa ◽  
A. Christopoulos ◽  
P. Sandris ◽  
...  
Keyword(s):  
Myocutaneous Flap ◽  
Lower Eyelid ◽  
Upper Eyelid ◽  
Eyelid Reconstruction ◽  
Lower Eyelid Reconstruction

scholarly journals Schwannoma of upper eyelid: A rare differential diagnosis of eyelid swellings

2010 ◽  
Vol 43 (02) ◽  
pp. 213-215
Author(s):  
Surendra B. Patil ◽  
Satish M. Kale ◽  
Sumeet Jaiswal ◽  
Nishant Khare
Keyword(s):  
Differential Diagnosis ◽  
Lower Eyelid ◽  
Lateral Part ◽  
Upper Eyelid ◽  
Eyelid Skin ◽  
Rare Differential Diagnosis ◽  
History Of ◽  
Upper Lid ◽  
Painless Mass ◽  
Rare Benign Tumour

ABSTRACTSchwannoma is a relatively rare benign tumour of peripheral nerve origin. The occurrence of Schwannoma in eyelid is extremely rare. As per our knowledge, only 11 such cases have been reported in the literature so far. We present a case of a 40-year-old man who presented to us with a 2-year history of slowly enlarging, painless mass in his left upper lid with resultant progressive ptosis. Ocular examination was suggestive of a firm, non-tender nodule of size 2 × 1.5 × 1 cm on the left upper lid. The mass was non-adherent to the skin or the underlying tissue. The eyelid skin and conjunctiva were indurated and signs of inflammation were present. The lateral part of eyelid showed presence of an ulcer and the lid function was severely hampered. Provisional clinical diagnosis was that of an eyelid malignancy. With this in mind, the medial part of the lid was excised and reconstructed using a tarso-conjunctival flap from the lower eyelid in conjunction with a skin graft. The histopathology and immunohistochemistry established the diagnosis of Schwannoma. We recommend that Schwannoma be considered in the differential diagnosis of well-circumscribed eyelid swellings.

Conventional vs noninvasive upper lid blepharoplasty in upper lid dermatochalasis: a comparative case series study

2020 ◽  
Vol 21 (3) ◽  
pp. 216
Author(s):  
Ahmed Tharwat ◽  
WaelM Saudi ◽  
Omar Solyman ◽  
KareemB Elessawy
Keyword(s):  
Case Series ◽  
Case Series Study ◽  
Upper Lid ◽  
Series Study

Phenotypic and Molecular Heterogeneity in Mandibulofacial Dysostoses: A Case Series From India

2021 ◽  
pp. 105566562110500
Author(s):  
Rathika D. Shenoy ◽  
Vikram Shetty ◽  
Annelies Dheedene ◽  
Björn Menten ◽  
Dechamma Pandyanda Nanjappa ◽  
...  
Keyword(s):  
Outcome Measure ◽  
Collaborative Study ◽  
Case Series ◽  
Lower Eyelid ◽  
Treacher Collins Syndrome ◽  
Molecular Heterogeneity ◽  
Term Care ◽  
Aural Atresia ◽  
Pathogenic Variants ◽  
Mandibulofacial Dysostosis

Objective Facial dysostosis is a group of rare craniofacial congenital disabilities requiring multidisciplinary long-term care. This report presents the phenotypic and genotypic information from South India. Design The study is a case series. Setting This was an international collaborative study involving a tertiary craniofacial clinic and medical genetics unit. Patients, Participants The participants were 9 families with 17 affected individuals of facial dysostosis. Intervention Exome analysis focused on known genes associated with acrofacial and mandibulofacial syndromes. Main Outcome Measure The outcome measure was to report phenotyptic and genetic heterogeneity in affected individuals. Results A Tessier cleft was seen in 7 (41%), lower eyelid coloboma in 12 (65%), ear anomalies in 10 (59%), uniolateral or bilateral aural atresia in 4 (24%), and deafness in 6 (35%). The facial gestalt of Treacher Collins syndrome (TCS) showed extensive phenotypic variations. Pathogenic variants in TCOF1 (Treacher Collins syndrome) were seen in six families, POLR1A (acrofacial dysostosis, Cincinnati type) and EFTUD2 (mandibulofacial dysostosis with microcephaly) in one each. One family (11.1%) had no detectable variation. Five out of six probands with Treacher Collins syndrome had other affected family members (83.3%), including a non-penetrant mother, identified after sequencing. Conclusion Our report illustrates the molecular heterogeneity of mandibulofacial dysostosis in India.

scholarly journals Total upper eyelid reconstruction by single staged malar-cheek flap

2014 ◽  
Vol 47 (01) ◽  
pp. 116-119
Author(s):  
Rajeev B. Ahuja ◽  
Pallab Chatterjee ◽  
Gaurav K. Gupta ◽  
Prabhat Shrivastava
Keyword(s):  
Surgical Outcome ◽  
Nasal Septum ◽  
Lower Eyelid ◽  
New Technique ◽  
Upper Eyelid ◽  
Eyelid Reconstruction ◽  
A New Technique ◽  
Eye Closure ◽  
Cheek Flap

ABSTRACTWe report a case of total upper eyelid reconstruction by a new technique after excision of an eyelid tumour. The eyelid was reconstructed by a horizontal, laterally based flap from just under the lower eyelid combined with a chondro-mucosal graft from the nasal septum. Surgical outcome was an excellent aesthetically reconstructed eyelid, which was mobile and properly gliding on the globe to achieve complete eye closure.

scholarly journals Orbital foreign body- Study of a case series

2015 ◽  
Vol 7 (1) ◽  
pp. 60-64
Author(s):  
S Dasgupta ◽  
V Vats ◽  
K S Mittal
Keyword(s):  
Traffic Accident ◽  
Road Traffic ◽  
Case Series ◽  
Lower Eyelid ◽  
Orbital Trauma ◽  
Orbital Cavity ◽  
Upper Eyelid ◽  
Surgical Exploration ◽  
First Case ◽  
History Of

Background: Orbital foreign bodies (OFBs) may remain in the orbital cavity for considerable time and manifest with secondary complications.Objective: To report five consecutive cases of orbital trauma with OFBs, who presented at our institute from Jan 2010 to Dec 2013. Cases: The first case of our series with a non-specific history of injury had a chronic granulomatous discharging sinus in the left upper eyelid and an intact globe. The second case, with an injury to the left lower eyelid following an assault, presented late and the manifestations were similar to that of the first case. The third case, of a road traffic accident, had sustained multiple facial and periocular injuries. The nature of all of three OFBs was uncertain by CT- scan, till surgical exploration. The fourth case had sustained injury to his left eye by a flying metal object. X-ray was sufficient to detect the OFB, but as scleral penetration was associated, management was complex. The fifth case had a nonspecific history of injury and the manifestation was similar to that of the first case. The surgical exploration revealed multiple OFB (wood). Conclusion: The OFBs pose difficult diagnostic and therapeutic challenges. Management of such cases, at times, calls for innovation in decision making and formulation of strategies.

A Modified Cutler-Beard Technique to manage Extensive Sebaceous Gland Carcinoma of Upper Eyelid

2016 ◽  
Vol 1 (4) ◽  
pp. 188-190
Author(s):  
Etti Goyal ◽  
Y Rizvi ◽  
Pranav Gupta
Keyword(s):  
Sebaceous Gland ◽  
The Elderly ◽  
Lower Eyelid ◽  
Sebaceous Gland Carcinoma ◽  
Upper Eyelid ◽  
Ear Cartilage ◽  
Upper Lid ◽  
Lid Reconstruction ◽  
Gland Carcinoma ◽  
Contralateral Eye

ABSTRACT Introduction Sebaceous gland carcinoma (SGC) is a rare tumor affecting the elderly, with a predisposition for females arising from the meibomian glands and occurring more commonly on the upper eyelid. Diagnosis is difficult because the tumor mimics chalazion or blepharitis. Sebaceous gland carcinoma has a mortality rate of about 5 to 10%. Aim To present a modified Cutler-Beard technique of lid reconstruction to manage a case of extensive SGC of upper lid. Materials and methods A 65-year-old male presented with a rapidly growing extensive mass of right upper eyelid (size 4.2 × 4 × 2.1 cm) causing mechanical ptosis. Histopathology confirmed the diagnosis as SGC. Wide excision of the lesion was performed sacrificing the whole upper eyelid. Lid reconstruction was done employing lower eyelid as per the bridged flap technique with the use of 4 mm silicon band to enhance lid stability. Patient achieved a satisfactory functional and cosmetic result following the second stage of the procedure. Conclusion Total loss of upper eyelid is often dealt with classical lid sharing technique of reconstruction first described by Cutler-Beard. For lid stability, use of tarsus from contralateral eye, ear cartilage has their attendant problems. A 4.0 silicon band was used to replace the sacrificed tarsus, achieving good results. How to cite this article Gupta P, Rizvi Y, Goyal E. A Modified Cutler-Beard Technique to manage Extensive Sebaceous Gland Carcinoma of Upper Eyelid. Int J Adv Integ Med Sci 2016;1(4):188-190.

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