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Biomedical subjects

E O Wiggs

Publications and source records attributed to E O Wiggs.

12 recordsLinked to original sources
PubMed1992

Periocular flaps.

BACKGROUND: Most flaps used in periocular reconstruction are random pattern flaps. OBJECTIVE: To discuss the principles of periocular flaps as they relate to oculoplastic surgery, with an emphasis on reconstruction of the eyelids and ocular adnexa. METHODS: The advantages, disadvantages, and techniques of reconstruction are reviewed. CONCLUSION: The ability to conceptualize and utilize flaps in periocular surgery enormously extends the surgeon's capabilities to produce optimal results for the patient.

Eyelids↗
PubMed1992

Extrusion of enucleation implants: treatment with secondary implants and autogenous temporalis fascia or fascia lata patch grafts.

We performed one autogenous fascia lata graft and 11 autogenous temporalis fascia grafts in eight patients with extrusion of an orbital enucleation implant and in four patients with a bulging implant who could not wear a prosthesis. Excluding one patient with inadequate follow up, 10 of the 11 patients (91%) successfully retained their implant. One patient had severe conjunctivitis followed by anterior migration of his implant 2 1/2 years after patch grafting, necessitating replacement of the implant. We conclude that autogenous temporalis fascia patch grafting is an effective treatment for orbital enucleation implant extrusion or a bulging implant.

Adolescent↗
PubMed1984

Punctal ectropion test suture.

We describe here a technique designed to temporarily remove puncta from the lacrimal lake. The "punctal ectropion test suture" (PETS) temporarily rotates the punctum away from the globe, thus interfering with normal tear outflow. The test suture may be used wherever the value of closure of the punctum is contemplated. It is especially useful in symptomatic patients with borderline normal tear outflow.

Eyelids↗
PubMed1984

Orbital dissection defatting technique for Graves disease.

Five patients with Graves disease and bilateral proptosis were treated with different incisional approaches. They all underwent orbital decompression by removal of the anterior medial orbital walls, the anterior ethmoidal sinuses, the orbital floors, and multiple incisions of the orbital periosteums . The defatting technique, which consists of applying manual anterior orbital pressure with alternate removing of small lobules of fat, was added when it was intraoperatively decided by Hertel exophthalmometer measurement that more decompression was needed. It is estimated that one-third more reduction in proptosis resulted. An average total decrease in proptosis of 9 mm per orbit occurred. Both visual accuities and visual fields returned to normal. The only important complication was the development of hypertropia in down gaze in one patient. A potential value of this technique is its use with orbital floor decompression alone. It may be possible to avoid removing the medial and lateral walls of the orbit, thereby decreasing complications. Defatting may also be a valuable addition in those rare cases where all decompression techniques available are needed to affect an adequate decompression.

Adipose Tissue↗
PubMed1982

Surgical treatment of the denervated or sagging lower lid.

Paralytic ectropion of the lower eyelid and increased curvature of the lower eyelid associated with anophthalmos both cn be optimally treated by use of an autogenous fascia lata sling. Some patients also have problems with prosthesis retention due to lower eyelid deformity with a shortened inferior fornix. In some instances, it is also necessary to perform a horizontal shortening operation on the lower eyelid. In anophthalmic patients, the relationship between prosthesis size and weight and a sagging lower lid is discussed. In some patients when the lower eyelid is elevated, the patient then has an upper lid ptosis for which it is necessary to perform an appropriate levator shortening operation. Surgical technique and illustrative pre- and post-operative photographs are shown.

Blepharoptosis↗
PubMed1981

Incompletely excised basal cell carcinoma of the ocular adnexa.

Incompletely excised basal cell carcinoma of the ocular adnexa is discussed by reviewing the role of surgery, cryosurgery, Mohs' chemosurgery, radiation, and observation on the management of this problem. The ultimate treatment depends upon tumor histology, operability of the lesion, location of the lesion, type of surgery performed, age and general condition of the patients, and extenuating socio-economic variables. What may be optimal treatment for a primary tumor is not necessarily optimal treatment for an incompletely excised tumor because of the risk of converting a minor surgical procedure into a major one and possible impairing ultimate lid or ocular function via flap or graft compromise or corneal exposure. This paper explores the choices available to the surgeon in detail.

Aged↗
PubMed1978

The Fasanella-Servat operation.

Indications, complications, surgical anatomy and the author's method of performing the FSO have been described. The procedure is an excellent and predictable operation if the criteria which have been advocated by many authors are carefully followed.

Blepharoptosis↗
PubMedDate not supplied

Morhea-form basal cell carcinomas of the canthi.

Basal cell carcinoma is not a single entity, but a lesion of protean morphology. In treating basal cell carcinomas, treatment should be correlated with the histopathology of the tumor. Attention has been called to the aggressive infiltrating properties of morphea-form lesions. Morphea-form basal cell carcinomas should not be treated with radiotherapy. Surgery with frozen section control is advocated as the treatment of choice and the value of permanent sections has been stressed. Large defects should be covered with a skin graft.

Adult↗