Biomedical subjects

D R Kulwin

Publications and source records attributed to D R Kulwin.

57 records · Page 4Linked to original sources

PubMed1981

Spontaneous enophthalmos associated with chronic maxillary sinusitis.

Enophthalmos and ptosis of the globe is usually a consequence of orbital trauma resulting in a blowout fracture of the orbital floor. Surgical exploration reveals a loss of inferior support due to a disruption of the bony orbital floor. We document five patients with a syndrome of spontaneous enophthalmos and ptosis of the globe unassociated with orbital trauma. The apparent dissolution of the orbital floor causes the loss of inferior support. There is a strong association with ipsilateral chronic maxillary sinus disease.

Adult↗

PubMed1979

Wendell L. Hughes Lecture. Wound healing.

The four major aspects of wound healing are discussed. In the inflammatory phase, necrotic tissue and foreign debris are removed while precursors of collagen synthesis accumulate. In the following fibroblastic phase, collagen is laid down and tensile strength increases. Concomitantly, contraction occurs to a varying degree along the wound surfaces. Finally, remodeling occurs and a mature scar evolves. Some clinical applications are presented.

Cicatrix↗

PubMedDate not supplied

Medial rectus muscle incarceration in pediatric medial orbital wall trapdoor fractures.

PURPOSE: We describe two cases of orbital trapdoor fractures with medial rectus muscle incarceration. METHODS: Small interventional case series. RESULTS: This is a retrospective university based report of two healthy males (11 and 14 years old) who developed diplopia following blunt orbital trauma. Both patients had decreased horizontal ocular motility of the involved eye with minimal additional evidence of trauma. Computed tomography (CT) demonstrated no significant bony displacement; however, the left medial rectus muscle was located within the ethmoid sinus in the first and had an abnormal size and shape in the second case. In both cases, during urgent surgical repair, the incarcerated medial rectus muscle was gently released from linear non-displaced medial wall fractures and ocular motility normalized postoperatively. CONCLUSIONS: In pediatric patients sustaining blunt orbital trauma, medial rectus incarceration should be considered and managed accordingly.

Adolescent↗