Ophthalmic Plastic and Reconstructive Surgery最新文献_第10页

A Cost Analysis of Enucleation and Evisceration Surgeries for Treatment of Blind, Painful Eyes. 眼盲、眼痛的剜除手术成本分析。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2024-12-10 DOI: 10.1097/IOP.0000000000002836

Darren A Chen, Amee D Azad, Lisa Y Lin, Michael K Yoon

{"title":"A Cost Analysis of Enucleation and Evisceration Surgeries for Treatment of Blind, Painful Eyes.","authors":"Darren A Chen, Amee D Azad, Lisa Y Lin, Michael K Yoon","doi":"10.1097/IOP.0000000000002836","DOIUrl":"10.1097/IOP.0000000000002836","url":null,"abstract":"Purpose: The purpose of this study is to assess the surgical costs of enucleations and eviscerations and their relation to current reimbursement rates using time-driven activity-based costing.Methods: This is a retrospective study of patients undergoing enucleation and evisceration surgeries with attachment of muscles (Current Procedural Terminology 65105 and 65093) for a diagnosis of blind, painful eye, from January 1, 2019, to December 31, 2023, at a single, tertiary level, teaching hospital. A time-driven activity-based cost analysis for day of surgery was performed. Operative reports, perioperative times, and supply costs were extracted from the electronic medical record, and average reimbursement fees were taken from Center for Medicare and Medicaid Services data.Results: In the 5-year study span, 110 patients underwent enucleation and 52 underwent evisceration for a primary indication of blind, painful eye by 10 different surgeons. The average operating room time and surgical time for enucleation was approximately 9 minutes longer compared with evisceration ( p < 0.01). Both surgeries on average resulted in a negative margin with enucleations costing on average $624 more than eviscerations. The breakeven total operating room time for enucleation and evisceration surgery was approximately 86.3 and 83.1 minutes, respectively. From the sample, approximately 79% of enucleation and 60% of evisceration surgeries resulted in a net negative margin.Conclusions: On average, the cost of enucleation and evisceration surgeries exceeded the reimbursement amount set by the Center for Medicare and Medicaid Services. Compared with enucleation, evisceration was more time and cost-effective by only a modest margin.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"315-319"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bleb Reformation After Lateral Cantholysis in a Case of Prostaglandin-associated Periorbitopathy. 前列腺素相关性眶周病1例外眦松解后的泡重构。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2024-12-19 DOI: 10.1097/IOP.0000000000002851

Akira Sugano, Hidenori Mito, Tomoko Ide, Shunsuke Nakakura, Jose Miguel Ambat, Yasuhiro Takahashi

引用次数: 0

Reply Re: "Treatment of Thyroid Eye Disease-Associated Ophthalmopathy and Myopathy With Intraorbital Injection of 5-Fluorouracil and Triamcinolone Acetonide". 回复：“5-氟尿嘧啶和曲安奈德眶内注射治疗甲状腺眼病相关性眼病和肌病”。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-12 DOI: 10.1097/IOP.0000000000002955

Louise A Mawn, James J Law, Anna Kupcha

引用次数: 0

Dacryoadenitis and Sjögren-like Symptoms Caused by Nivolumab. 尼武单抗引起的泪腺炎和Sjögren-like症状。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2024-12-27 DOI: 10.1097/IOP.0000000000002856

Isana Nakajima, Koji Yoshino, Misayo Miyake, Kengo Takeuchi, Hideki Tsuji

引用次数: 0

Graded Eyelid Crease Approach to the Superior Orbital Apex: An Anatomical Study. 眶上穹窿的分级眼睑皱襞入路：解剖学研究。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2024-11-19 DOI: 10.1097/IOP.0000000000002812

Jessica Y Tong, Jeffrey Sung, WengOnn Chan, Alkis J Psaltis, Dinesh Selva

{"title":"Graded Eyelid Crease Approach to the Superior Orbital Apex: An Anatomical Study.","authors":"Jessica Y Tong, Jeffrey Sung, WengOnn Chan, Alkis J Psaltis, Dinesh Selva","doi":"10.1097/IOP.0000000000002812","DOIUrl":"10.1097/IOP.0000000000002812","url":null,"abstract":"Purpose: To describe a graded eyelid crease approach to access the superior orbital apex, and to quantify the working space enabled with the sequential release of structures along the superior orbital rim.Methods: Cadaveric dissection study of 7 cadaver heads (14 orbits). This technique involved a subperiosteal approach to the superior orbital apex. This was performed by sequential dissection from 1) the supraorbital neurovascular bundle (SNB) to the zygomaticofrontal suture, 2) extension of this plane to the Whitnall's tubercle, 3a) dissection around the SNB up to the trochlea while preserving the SNB, or 3b) release and division of the SNB, and finally 4) subperiosteal release of the trochlea. Measurements were taken between each landmark (mean ± 1 SD). With each step, a silicone mold was created of the subperiosteal cavity with maximal orbital retraction, which was maintained within 10 mm from the superior orbital rim. The length (mm), width (mm), height (mm), and weight (g) of the mold were quantified.Results: The mean distance from SNB to the zygomaticofrontal suture is 27.0 ± 2.9 mm; zygomaticofrontal suture to Whitnall's tubercle 8.9 ± 3.1 mm, and SNB to trochlea 4.6 ± 2.7 mm. There was a linear increase in the length, width, and height of the silicone mold with each progressive step. The largest gains in height and weight of the silicone mold were noted progressing from step 2 to 3a.Conclusion: Quantitative analysis of the transorbital approach to the superior orbital apex demonstrates that dissection around the SNB provides a wider surgical corridor of access.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"280-284"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bilateral Congenital Lacrimal Gland Agenesis: A New Finding in Harel-Yoon Syndrome With Heterozygous ATAD3A Deletion. 双侧先天性泪腺发育不全：Harel-Yoon综合征伴杂合ATAD3A缺失的新发现。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-12 DOI: 10.1097/IOP.0000000000002809

Bolajoko Abidemi Adewara, Swati Singh

引用次数: 0

Reply Re: "The Algorithmic Role of Critical Radiographic Features in the Treatment of Angioinvasive Fungal Sinusitis". 回复：“关键影像学特征在血管侵袭性真菌性鼻窦炎治疗中的算法作用”。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-12 DOI: 10.1097/IOP.0000000000002961

Alexis Kassotis, Allison Coombs, Nahill Matari, Angela Lignelli, Michael Kazim

引用次数: 0

Lateral Brow-Eyelid Contour After Traditional Blepharoplasty Versus Blepharoplasty With Brassiere Sutures Using Three-Dimensional Imaging. 利用三维成像技术对比传统眼睑成形术与胸罩缝合眼睑成形术后的侧眉眼睑轮廓。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2024-12-23 DOI: 10.1097/IOP.0000000000002801

Marisa Novaes de Figueiredo Rassi, Bruna Veronese de Almeida, Roberto Murillo Limongi

{"title":"Lateral Brow-Eyelid Contour After Traditional Blepharoplasty Versus Blepharoplasty With Brassiere Sutures Using Three-Dimensional Imaging.","authors":"Marisa Novaes de Figueiredo Rassi, Bruna Veronese de Almeida, Roberto Murillo Limongi","doi":"10.1097/IOP.0000000000002801","DOIUrl":"10.1097/IOP.0000000000002801","url":null,"abstract":"Purpose: This study aims to compare the lateral brow-eyelid contour following traditional blepharoplasty versus blepharoplasty with brassiere sutures using 3D imaging.Methods: This prospective, randomized, comparative, parallel-group trial involved 56 female patients with dermatochalasis. Patients with an odd number of letters in their first names underwent traditional upper blepharoplasty (group A), while the rest underwent blepharoplasty with orbicularis oculi muscle fixation (group B). All procedures were performed by a single surgeon. Postoperative 3D photographs were standardized in a three-quarter view and analyzed using textured overlays.Results: In traditional blepharoplasty, 64.5% of patients exhibited flatter eyelid contours with shorter lower convexity. In contrast, the brassiere suture group showed increased convexity above and below the eyelid crease and increased tarsal platform show in 60% of patients.Conclusion: The authors recommend preserving and repositioning fat in upper blepharoplasty for its safety and aesthetic benefits.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"269-272"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Orbital Intraosseous Abscess After Lateral Bony Orbital Decompression. 侧骨眶减压后眼眶骨内脓肿。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2024-12-19 DOI: 10.1097/IOP.0000000000002849

Priscilla April O Lao, Usma Chatha, Aaron Fay, Ryan Heffelfinger, Jurij R Bilyk

引用次数: 0

Value of Platelet-to-Lymphocyte and Monocyte-to-Lymphocyte Ratios in Differentiating Idiopathic Orbital Inflammation From Orbital Infectious Disease. 血小板与淋巴细胞及单核细胞与淋巴细胞比值在鉴别特发性眼窝炎症与眼窝感染性疾病中的价值。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-05-01 Epub Date: 2024-12-09 DOI: 10.1097/IOP.0000000000002829

Robert J Thomson, Carisa E Bohnak, Edward J Wladis

{"title":"Value of Platelet-to-Lymphocyte and Monocyte-to-Lymphocyte Ratios in Differentiating Idiopathic Orbital Inflammation From Orbital Infectious Disease.","authors":"Robert J Thomson, Carisa E Bohnak, Edward J Wladis","doi":"10.1097/IOP.0000000000002829","DOIUrl":"10.1097/IOP.0000000000002829","url":null,"abstract":"Purpose: Monocyte-lymphocyte ratio (MLR) and platelet-lymphocyte ratio (PLR) are emerging biomarkers; they have not been widely utilized in orbital disease. This study investigated the role of these ratios in distinguishing orbital inflammation from infection.Methods: A retrospective review of medical records was conducted to identify adult patients who presented acutely to a single emergency department at an academic medical center and were diagnosed with serologically and biopsy-proven idiopathic orbital inflammation (IOI, n = 9), orbital cellulitis (OC, n = 14), or necrotizing fasciitis (NF, n = 12). MLR and PLR were calculated from the first blood draw on presentation to the emergency department. Statistical analysis was performed via the Mann-Whitney test with a dedicated computerized software package (GraphPad Prism, La Jolla, CA) with p values <0.05 considered statistically significant.Results: Mean PLRs were 194.90 (SD = 118.01), 304.21 (SD = 341.39), and 203.38 (SD = 196.32) for IOI, NF, and OC, respectively. Mean MLRs were 0.40 (SD = 0.24), 1.74 (SD = 2.41), and 0.75 (SD = 0.40) for IOI, NF, and OC, respectively. MLR was significantly lower in the IOI group compared to the NF group ( p = 0.018) and OC group ( p = 0.020). Differences in MLR between OC and NF groups were not statistically significant ( p = 0.43).Conclusion: While MLR showed no significant difference between different infectious etiologies, it was significantly higher in infectious processes than in IOI, distinguishing inflammation from infection. MLR could be a valuable addition to the diagnostic toolkit for triaging patients in the emergency department and initiating prompt, focused therapy.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"303-305"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0