Eyelid ecchymosis and proptosis in lymphangioma.
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Adult↗
Biomedical subjects
R M Dryden
Publications and source records attributed to R M Dryden.
Total internal reflection for positioning Jones tube.
Visualization of the Jones tube in the internal nose often poses difficulty for the surgeon and threatens the success of the operation. Postoperatively, localizing the end of the tube in the nose in order to confirm its placement or to analyze the cause of failure may also be technically challenging. A method of visualizing the tube in the nose under both surgical and postsurgical conditions is herein described.
Dacryocystorhinostomy↗
The preauricular skin graft in eyelid reconstruction.
The skin obtained from the preauricular graft for reconstruction of eyelid and midfacial defects is an excellent tissue and color match for the lower eyelid and medial canthus. This area is an excellent alternative graft site, and its usage should be added to the ophthalmic plastic surgeon's therapeutic armamentarium.
Basal Cell Carcinoma↗
Temporary nonincisional tarsorrhaphy.
A simple and effective method of temporary tarsorrhaphy, which is referred to as intermarginal serpentine temporary tarsorrhaphy, is presented. The tarsorrhaphy is created by passing a 6-0 Prolene suture in a serpentine manner across the eyelids, entering and exiting from the eyelid margin. This type of tarsorrhaphy is easy to perform, has few disadvantages, and is very effective.
Eyelids↗
A new technique of indirect ophthalmoscopy for the eye plastic surgeon.
The coaxial fiberoptic headlight used by the lacrimal and orbital surgeon is an excellent light source for visualization of the retina. When employed in conjunction with a condensing lens, an inverted stereoscopic aerial image is produced. The eye plastic surgeon might therefore routinely examine the dilated patient in conjunction with lacrimal or orbital surgery.
Humans↗
Visualization of the probe tip during lacrimal outflow system probing and intubation.
Probing of the lacrimal outflow system is commonly performed by ophthalmologists for treating nasolacrimal duct obstruction in infants or for intubating the lacrimal system. Visualization of the probe tip in the inferior meatus during probing insures the surgeon of reaching the nose with the probe. Similarly, visualization of the probe is the key to success in intubation irrespective of the retrieval system used. Rotation of a curved metal probe plus infracturing of the inferior turbinate after shrinking the nasal mucosa with cocaine allows such visualization in most instances.
Adult↗
Functional anatomical reconstruction in an oculofacial prosthesis.
The exenterated, maxillectomy, and/or palatectomy patient is ideally referred prior to surgery for two primary reasons: (1) to reassure the patient of an attempt to restore appearance and function to nearly the same as before ablative surgery, and (2) to make an entire face alginate impression for post surgical replication. The sixth week postoperatively, a second full-face alginate impression is made of existing wound and remaining anatomy. Photographs are taken for comparative sculpting. The prosthesis is designed to redirect airflow to a normal pattern in order to avoid "blow out" of the prosthesis from a sneeze or cough. Bone-like acrylic sinus replication provides normal speech resonance, a bonding surface for Silastic "skin" and a hollow socket for an impression-fitted prosthetic eye. The prosthetic eye, intrinsic pigmentation and extrinsic pigmentation, eye lashes and brows are incorporated into completed prosthesis. A combination of aesthetic and functional elements into a single three- or four-piece prosthesis provides restoration of natural appearance, improved functions of facial anatomy, and improved breathing, sinus drainage, speech articulation and resonance.
Eye, Artificial↗
Nonincisional correction of epiblepharon and congenital entropion.
Nonincisional suture techniques are used for the treatment of epiblepharon and congenital entropion. An explanation for the unstable eyelid seems to involve similar developmental anomalies of the eyelid retractor. Congenital entropion has been treated promptly in the past. Contrary to tradition, symptomatic epiblepharon should also be treated early.
Child↗
Lacrimal sac identification in dacryocystorhinostomy surgery.
The intraoperative identification and opening of the lacrimal sac is generally performed by cutting down on the tip of a lacrimal probe passed down one canaliculus. While easily performed in most cases, this step is frequently associated with difficulty, confusion, and orbital fat exposure particularly if the internal common punctum is imperforate or the sac is scarred. The authors present an alternate method for opening the sac based upon simple anatomic concept.
Humans↗
Levator transposition and frontalis sling procedure in severe unilateral ptosis and the paradoxically innervated levator.
Symmetry in severe unilateral ptosis, the jaw-winking syndrome, and ptosis with aberrant third-nerve regeneration is best achieved with bilateral frontalis suspension. However, the levator function needs to be removed in the normal side with unilateral ptosis and bilaterally with the paradoxically innervated levator. Levator transposition to the arcus marginalis is a reversible methods of establishing a complete ptosis. the reversibility of the procedure is demonstrated in the rhesus monkey. The procedure, when combined with frontalis suspension in humans, demonstrates the needed elimination of levator function.
Adolescent↗
The use of sclera in the treatment of dysthyroid eyelid retraction.
The use of sclera for correcting dysthyroid lid retraction is described. Forty-three procedures on 14 patients are reviewed. Of these 43 procedures, 18 were for upper eyelid retraction, and 25 were for lower eyelid retraction. A tapered graft, larger temporally, was used for the upper eyelid. An eliptical graft of uniform vertical height was used for lower eyelid. Moderately predictable results were obtained; 66% of patients were corrected to within 1 mm of desired positions after the first operative procedure. Only 13% of patients required additional surgery. When secondary procedures were required, the eyelids were corrected to the desired location. Complications were minimal. Sclera proved to be an excellent graft material for dysthyroid eyelid retraction.
Adult↗
Senile entropion. Pathogenesis and treatment.
Lower lid entropion is owing to a defect of the lower eyelid retractors that causes attenuation of the aponeurosis. Twelve patients with lower lid entropion underwent surgery in which a procedure that reapproximates normal lower lid anatomy was used. There were two recurrences of the entropion condition in the twelve patients.
Aged↗
The levator aponeurosis in blepharoplasty.
The exposure of the levator aponeurosis during blepharoplasty allows the creation of a fixed, distinct lid crease and the opportunity for repair of any defect in the aponeurosis. The conventional blepharoplasty without deep fixation may show the scar separate from the crease and a tendency for early redundancy of skin low on the lid. Additionally, many elderly patients undergoing blepharoplasty have early separations in the levator aponeurosis. Repair of such defects may prophylactically defer the development of acquired ptosis or reverse an early unrecognized ptosis.
Adult↗
Histopathology of orbital skin tumors.
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Biopsy↗
Melkersson-Rosenthal syndrome, Hodgkin disease, and corneal keratopathy.
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Alopecia↗
Probes for intubation in lacrimal drainage.
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Drainage↗
Orbital histiocytosis X.
In three patients with histiocytosis X of bone with orbital involvement, CT scans were reviewed. Consistent findings included a destructive lesion of the lateral wall of the orbit with a large soft-tissue component that extended into the extraconal space, the ocular adnexa, and the infratemporal fossa. The greater wing of the sphenoid was eroded in all cases, with epidural extension into the middle cranial fossa. Cavernous sinus involvement and a second bone lesion were seen in two patients.
Cavernous Sinus↗
The use of scleral transplantation in cicatricial entropion and eyelid retraction.
Scleral transplantation has given excellent results in the surgical repair of eyelid problems. The advantages of using scleral transplantation in repairing eyelid retraction are the relative predictability of the final eyelid position and curve and the decreased incidence of repeated retraction. The characteristics of sclera make it a desirable homologous transplant material for use in transplant surgery.
Entropion↗