Biomedical subjects

C R Leone

Publications and source records attributed to C R Leone.

At least 73 records · Page 4Linked to original sources

PubMed1980

Lower eyelid reconstruction with upper eyelid transpositional grafts.

A procedure of lower eyelid reconstruction is described using a transpositional tarsalconjunctival graft from the mid-portion of the ipsilateral upper eyelid, as well as a transpositional skin-muscle flap from the supratarsal area. This technique confines the resconstruction to the local area, provides adequate support, and maintains the upward curve of the lateral aspect of the lower eyelid as well as a sharp canthal angle.

Aged↗

PubMed1979

Reconstruction of the medial eyelid.

We used a free tarsal-conjunctival grate from the upper eyelid and a nasal-based pedicle skin-muscle flap for reconstruction of the medial aspect of the lower eyelid. This had the advantage of confining the reconstruction to the local area and eliminated the need for a temporal flap or an eyelid sharing procedure that necessitates occluding the fissure for several weeks.

Basal Cell Carcinoma↗

PubMed1979

Surgical approaches to the orbit.

After the appropriate workup, the size, location, and consistency of an orbital mass will dictate the surgical approach chosen. Masses in the muscle cone area or in the temporal portion of the orbit are most easily approached by the lateral orbitotomy. For lacrimal gland tumors a superior extension of the lateral orbitotomy will expose the lacrimal fossa area. The superior medial subperiosteal approach is indicated for masses in the superior medial orbit. For the more difficult area between the medial rectus and optic nerve, the combination lateral-medial orbitotomy through the medial fornix will expose the medial retrobulbar area. To reduce postoperative morbidity, emphasis is placed on adequate exposure, careful manipulation of tissues, and meticulous hemostasis.

Cranial Nerve Neoplasms↗

PubMed1979

Dacryocystorhinostomy: a modification of the Dupuy-Dutemps operation.

In a series of 112 cases, dacryocystorhinostomy with direct anterior and posterior flap anastomosis has produced a success rate of 94%. Modifications from the original procedure described by Dupuy-Dutemps include preparation of the lacrimal sac flaps and preplacement of the sutures prior to the osteotomy which facilitates accurate identification and approximation with the nasal flaps. Adaptic gauze impregnated with polysporin ointment is packed into the rhinostomy site and out to the anterior nares to maintain patency and minimize clot and membrane formation. Common canalicular stenosis must be recognized and treated with silicone intubation to prevent failure in an otherwise correctable situation.

Adult↗

PubMed1978

A modified silicone frontalis sling for the correction of blepharoptosis.

We devised a frontalis sling by using two No. 40 silicone bands. Each free end was sutured to the tarsus and joined in the central brow area. We used pulley sutures in the medial and lateral brow incisions to prevent migration of the bands. With this method, adjustment of the eyelid level can be made anytime postoperatively through the central eyebrow incision because of the ease in finding the overlapped ends of the silicone bands. This is particularly useful for patients with chronic progressive ophthalmoplegia where poor closure and exposure keratopathy are potential postoperative problems.

Aged↗

PubMed1977

Tarsal pedicle flap for lower eyelid reconstruction.

When reconstructing the lower eyelid with use of a temporal-zygomatic skin flap, the inner lining can be provided by a tarsal pedicle flap from the upper eyelid. The flap is hinged in the superior cul de sac and is similar to the letter T on its side, obviating the need to use nasal septal cartilage and mucosa. This method maintains the upward curve of the lower eyelid and restores the lateral canthal angle while causing very little noticeable shortening of the horizontal fissure.

Aged↗

PubMed1977

Eye disorders. Treatment of baggy eyelids.

Blepharochalasis is a redundancy of the eyelid skin. It may be associated with herniation of orbital fat, and the eyelids may have a baggy appearance. They may become heavy and reduce the visual field. Blepharoplasty, in which the excess skin and fat are removed, can not only improve appearance but can also improve ocular function. The most common serious complication of surgery is overcorrection of the lower eyelids. Skin grafting may be required to repair the resulting ectropion. Since visual compromise is a rare but possible complication, complete preoperative ophthalmologic evaluation is advisable.

Cutis Laxa↗

PubMed1977

[Survival after kidney transplant].

Explore the source record for details and available documents.

Acute Kidney Injury↗

PubMed1976

Computerized axial tomography of the orbit.

Computerized Axial Tomography is a noninvasive radiologic technique that gives definition to orbital structures that aids the ophthalmologist in his diagnosis and treatment. This outpatient study is painless, takes approximately thirty minutes, but does demand a very still patient. The globe, horizontal extraocular muscles, and optic nerve are well delineated which allows detection of retrobulbar abnormalities. Eleven examples of the sixty patients studied are presented demonstrating its value as the most informative test now available in orbital diagnosis.

Adult↗

PubMed1975

Repair of cicatricial ectropion by horizontal shortening and pedicle flap.

Senile ectropion can usually be repaired by a horizontal shortening procedure. However, in those cases where there is a cicatricial component, additional skin is needed to insure a satisfactory result. This report describes a method of correcting this type of ectropion by utilizing a combination of horizontal shortening and single pedicle flap from the upper eyelid.

Aged↗

PubMed1975

Internal tarsus-orbicularis resection for senile spastic entropion.

This report describes the surgical correction of senile spastic entropion by internally resecting tarsus and orbicularis muscle. A triangle of tarsus is removed with the apex at the margin and the base at the inferior border and a similar amount of orbicularis muscle is resected. Each layer is approximated separately. The shortened tarsus improves the apposition of the lid aagainst the globe and the tightened orbicularis aids in maintaining this stability.

Aged↗

PubMed1974