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Biomedical subjects

M Bodian

Publications and source records attributed to M Bodian.

At least 19 recordsLinked to original sources
PubMed1989

Does conjunctival resection in ptosis surgery lead to dry-eye syndrome?

On collating the results of four ophthalmic surgeons after conjunctivolevator resection in ptosis surgery we found no instance of dry-eye syndrome. Our conclusions were based on clinical findings and Schirmer testing after many hundreds of such operations. This study was undertaken because some ophthalmic surgeons had speculated that removal of conjunctiva in this type of surgery would lead to keratoconjunctivitis sicca. Despite prolonged follow-up (as much as 30 years), this has not occurred. All contributing surgeons expressed satisfaction with conjunctivolevator resection in ptosis surgery on selected cases.

Adolescent↗
PubMed1983

Extensive lid reconstruction using an augmented pedicle flap.

A method is described for reconstructing a total or subtotal defect of the lower lid. Essentially, it consists of a lateral sliding pedicle flap that has been augmented by including semicircles of additional skin on its upper and lower margins. Results of this procedure following excision of extensive basal cell carcinomas of the lower lid have been satisfactory in seven patients followed for one to four years. The major advantages of the method are: (1) occlusion of the eye is minimized; (2) it is a one-stage operation; (3) surgery is far simpler than many other methods for such conditions; (4) complications have been minor; (5) the upper lid is not disturbed. The technique was suggested by Tenzel's method for repairing smaller lid defects. Further trial of the method is indicated to assess its true value.

Aged↗
PubMed1982

Lip droop following contralateral ptosis repair.

Following successful uniocular ptosis repair, measurable drooping of the fellow upper lid was noted in 11 (9.6%) of 115 cases. the original ptosis was due to a variety of causes. Methods of surgery included levator shortening, frontalis sling, and tarsoconjunctival resection. The droop of the eyelid not operated on was measured before and after ptosis surgery on the fellow eye. This contralateral phenomenon may be explained on the basis of Hering's law regarding yoke muscles. Surgical repair of the secondarily drooped lid was successful in five such cases.

Adolescent↗
PubMed1980

A "miniprobe# for use in dacryocystorhinostomy surgery.

A simplified and relatively atraumatic method is described for placing a silicone tube stent through the lacrimal drainage system during a dacryocystorhinostomy (DCR). Two short, pliable metal probes ("miniprobes") are attached to the ends of a length of silicone tubing. After the lacrimal sac and nasal mucosa have been incised, the probes carry the tubing through the lacrimal canals and the operative wound and down into the nasal cavity. After routine DCR the stent is left for three weeks to ensure a patent drainway. Excess scar or other conditions may suggest longer retention.

Dacryocystorhinostomy↗
PubMed1977

Repair of occluded lower canaliculus.

Epiphora resulting from traumatic occlusion of the inferior canaliculus has long been a vexing problem. A simple operation to cure some of these cases consists of unroofing the proximal portion of the canaliculus with use of a smooth-tipped pigtail probe passed from above as a guide. Prerequisites for the operation are a patent superior canaliculus, sac, and proximal segment of the inferior canaliculus. Epiphora was corrected in five of seven eyes with this surgery.

Adult↗
PubMed1977

A tarsal resection procedure for senile entropion with lid retraction.

1. A method of tarso-conjunctival resection for correction of spastic entropion associated with lid retraction has been presented which prevents a) the presence of suture knots against the cornea, b) localized trichiasis, and c) tissue reaction to absorbable sutures. 2. These advantages are achieved through the use of several figure-of-8 silk sutures which are tied on the skin surface. 3. By keeping the apex of the excised triangle of tarsus 2 mm below the lid margin trichiasis may be avoided. 4. Twelve operations have been followed for 1 to 6 years. The retraction and entropion were markedly improved in eleven lids. One under-correction resulted. There were no other complications.

Entropion↗
PubMed1975

A revised Fasanella-Servat ptosis operation.

The Fasanella-Servat operation for ptosis has had several modifications of suture placement. The present method utilized 5-0 nylon which traverses the cut edges as a running mattress suture. The ends of the suture are fixed on the skin surface with rubber bolsters. The suture is removed in 10 days. The advantages are: (1) no suture knots on the corneal surface; (2) ease of placement; (3) minimal tissue reaction; (4) the suture is removed; and (5) ease of suture removal.

Adult↗
PubMedDate not supplied

[The campaign against leprosy in an urban African environment: problems encountered at the level of case-finding and of monitoring of patients in Dakar].

The authors first explain the main epidemiological parameters of leprosy in Dakar, their evolution and their differences with those of the rest of the country. The second part deals with case finding and reveals the essential importance of the voluntary detection which appears as rather early: 3.5% of second degree physical disabilities; 37% of monomacular lesions in the paucibacillary lesions. The third part explains the problems encountered on leprosy control with the study of a cohort of 241 patients: 64% were missing in 4 years and half of them during the first year. At the end of 4 to 6 years, only 19% of the patients had a regular attendance at treatment. The defects are significantly more frequent with the male patients, and with the people who have been residing in Dakar for less than two years. In the suggested solutions, the authors insist on the necessity to adopt short multidrug protocols and to make health education for patients so that they care about case finding with their contacts.

Adolescent↗