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Biomedical subjects

R B Wilkins

Publications and source records attributed to R B Wilkins.

8 recordsLinked to original sources
PubMed1991

Involutional entropion: a retrospective analysis of the Wies procedure alone or combined with a horizontal shortening procedure.

The surgical management of 95 cases of involutional entropion were reviewed to form this retrospective study. The 66 cases treated with the Wies procedure alone had a recurrence rate of 11%. The 29 cases treated with a combined procedure consisting of a Wies procedure with a lateral canthal horizontal shortening had no recurrences. All patients had a minimum of 6 months postoperative follow-up. The etiologic factors as they relate to the appropriate surgical procedures are discussed.

Aged↗
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↗
PubMed1978

Evaluation of the blepharoplasty patient.

Since blepharoplasty can mean almost any surgery involving the eyelids, it is necessary that during the evaluation of the patient, his expectations be realistically correlated with the limitations and probable outcome of the operation. Specific examination points include scars, pigmentation, wrinkles, and symmetry of the brows and lids. Tone of the lower lids is checked to eliminate postoperative ectropion. Lastly, cosmetic vs functional blepharoplasty is defined.

Eyelids↗
PubMed1978

Congenital medial canthal tendon malposition.

This report describes the characteristics and treatment of a syndrome in which the predominant ophthalmic defect is a congenital malposition of the medial canthal tendon. The syndrome is illustrated by 3 patients, each of whom had associated nasal deformities on the ipsilateral side. These congenital anomalies most likely resulted from an arrest in development during the second month of embryonic life. A combined effort by the ophthalmic plastic surgeon, the general plastic surgeon, and the otolaryngologist has been found useful in the management of these patients.

Coloboma↗
PubMed1975

Orbital floor elevator.

A 15-cm orbital floor elevator was used to lift orbital contents, and to reposition and remove bony fragments during orbital floor repair procedure.

Ophthalmology↗
PubMed1975

Massive orbital invasion by small malignant lesions.

In diagnosing and treating small malignant lesions of the eyelids, physicians should be alert for possible extension of the cancer into the orbit, endangering not only the patient's sight but his life as well. Important signs and symptoms include bone thickening, disturbances of ocular motility, intermittent epiphora, and positive results of radiologic studies. From histopathologic study of the resected carcinomatous tissues, it is apparent that the creeping, cicatrizing, ulcerated, and invasive patterns of basal cell carcinoma predominate in this group of eyelid tumors, all of which are aggressive lesions; however, the histologic type is quite variable and no definite trends can be established.

Adult↗
PubMedDate not supplied

A profile of patients with intractable blepharospasm.

Of those patients seeking surgical correction for intractable blepharopasm, the spasm was more commonly bilateral than unilateral by a ratio of about 7:1 and the bilateral form was more common in women than men by a ratio of about 3:1. The unilateral disease had an equal sex incidence. The disease seemed to be the same in men and women. The median age of onset was 59 years old, and the median interval between onset of symptoms and surgery was three years. Most of these patients had seen many physicians, and all prior medical and surgical treatments had been unsuccessful.

Adult↗