Ophthalmic Plastic and Reconstructive Surgery最新文献_第2页

Whole-Eye Transplantation: How Far Are We From a Breakthrough? 全眼移植：我们离突破还有多远？

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 Epub Date: 2024-08-13 DOI: 10.1097/IOP.0000000000002738

Ingrid Bekono-Nessah, Kwaku A Duah-Asante, Daryl Poku, Hadyn K N Kankam, Ruben Y Kannan

{"title":"Whole-Eye Transplantation: How Far Are We From a Breakthrough?","authors":"Ingrid Bekono-Nessah, Kwaku A Duah-Asante, Daryl Poku, Hadyn K N Kankam, Ruben Y Kannan","doi":"10.1097/IOP.0000000000002738","DOIUrl":"10.1097/IOP.0000000000002738","url":null,"abstract":"Purpose: Traumatic facial injuries and resultant eye enucleation remain a devastating life-changing event for many. However, whole-eye transplantation (WET) has remained a distant goal until recently. This narrative review explores the existing literature on WET, assesses current hurdles to its success, and considers the ethical challenges to the expansion of WET programs globally.Method: The authors identified pertinent keywords by conducting an initial literature exploration which were subsequently used to search scientific databases. In line with the narrative methodology employed in this article, specific inclusion and exclusion criteria were not explicitly defined. Nevertheless, the review focused exclusively on articles relating to ocular restoration and reconstructive surgery.Results: Though vision restoration remains elusive, burgeoning surgical techniques such as vascularized composite allotransplantation have opened the scope for surgeons to consider WET when planning facial transplants. Dr. Rodriguez and the New York University Langone team's success supports the recent advancements made in surgical innovation and the potential of CD34-positive stem cells as neuroprotective agents when injected at the optic nerve connection of the recipient. For WET to succeed, vascular and neural structures and the transplanted eye must be considered. Such requirements have been strengthened by the development of microsurgical techniques. In addition to addressing the technical feasibility of WET, it is crucial to deliberate on ethical considerations such as the lifelong implications associated with immunosuppression and, challenges related to the fair division of ocular tissue for WET versus keratoplasty.Conclusion: WET amid significant facial trauma has great potential to restore the quality of life in patients, however, more research is required to demonstrate its long-term viability.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141971557","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

Single-stage Differential Template Technique for the Repair of Palpebral Neurofibromatosis With Severe Blepharoptosis in Adults. 修复伴有严重睑外翻的成人睑神经纤维瘤病的单阶段差分模板技术。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 Epub Date: 2024-08-23 DOI: 10.1097/IOP.0000000000002760

Milind N Naik, Varshitha Hemanth Vasanthapuram, Anamika Joshi, Richa Dharap-Wagh

{"title":"Single-stage Differential Template Technique for the Repair of Palpebral Neurofibromatosis With Severe Blepharoptosis in Adults.","authors":"Milind N Naik, Varshitha Hemanth Vasanthapuram, Anamika Joshi, Richa Dharap-Wagh","doi":"10.1097/IOP.0000000000002760","DOIUrl":"10.1097/IOP.0000000000002760","url":null,"abstract":"Purpose: To report the surgical outcomes of single-stage differential template technique for the correction of palpebral neurofibromatosis associated with severe blepharoptosis in adults.Methods: This is a retrospective interventional case series. Adult patients with severe unilateral palpebral neurofibromatosis, severe blepharoptosis, and lateral canthal dystopia underwent a single-stage repair. The excess anterior and posterior lamellae of the eyelid tissue were excised in a differential manner, using the other eyelid as a template (differential template technique). The levator muscle was resected and reattached to the tarsus during the reconstruction. The surgical outcomes and complications were evaluated.Results: A total of 5 patients underwent the differential template technique. The median age at presentation was 24 years, and 4 were males. All had severe blepharoptosis, with excess upper eyelid and temporal plexiform neurofibroma. All underwent a single-stage procedure with an average follow-up of 17.8 months. The average palpebral fissure height improved from 0 mm preoperatively to 8.25 mm postoperatively, with a well-formed eyelid crease and an average lagophthalmos of 2 mm. Good functional and cosmetic outcome was noted in all patients, with no exposure keratopathy. Two patients had a lateral canthal \"stand-off,\" and 1 patient developed mild upper eyelid retraction, which was managed conservatively.Conclusions: A single-stage differential template technique can correct palpebral neurofibromatosis with severe blepharoptosis providing good cosmetic and functional outcomes.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036475","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

Even Patients Who Respond Poorly to the Phenylephrine Test Can Benefit From Topical Oxymetazoline for Temporary Eyelid Ptosis Management. 即使对苯肾上腺素试验反应不佳的患者也能从局部使用羟甲唑啉治疗暂时性眼睑下垂中获益。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 DOI: 10.1097/IOP.0000000000002788

Lilian E Ohkawara, Midori H Osaki, Julia H Iwakura, Gustavo R Gameiro, Tammy H Osaki

引用次数: 0

A Case of Malignant Transformation of an Orbital Epidermoid Cyst to Cystic Squamous Cell Carcinoma. 一例眼眶表皮样囊肿恶变为囊性鳞状细胞癌的病例。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 Epub Date: 2024-08-13 DOI: 10.1097/IOP.0000000000002740

Robert C Sterner, Elaine M Downie, Nicole B Duncan, Qiancheng Wang, Brandon Vander Zee, Heather A Potter, Mark J Lucarelli

引用次数: 0

Spindle Cell Carcinoma of the Ocular Adnexa: A Case Report and Literature Review. 眼附件纺锤形细胞癌：病例报告与文献综述

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 Epub Date: 2024-08-19 DOI: 10.1097/IOP.0000000000002744

Ryan H Mason, Kenneth Chang, Georges Nassrallah, Navdeep Nijhawan

引用次数: 0

A Case of Nasoseptal Flap Reconstruction for Refractory Medial Canthal Fistula. 一例鼻中隔皮瓣重建术治疗难治性内侧眼瘘管病例

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 Epub Date: 2024-08-28 DOI: 10.1097/IOP.0000000000002767

Kenny Y Wang, Caroline Y Yu, Carlos Pinheiro-Neto, Andrea A Tooley

引用次数: 0

Influence of the Phenylephrine Test in Outcomes of External Levator Advancement for Involutional Ptosis. 苯肾上腺素试验对内翻性上睑下垂外提法治疗效果的影响

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 Epub Date: 2024-05-17 DOI: 10.1097/IOP.0000000000002675

Livia Chaneac, Baptiste Bertrand, Amaury Schmid, Laurent Guyot, Thierry David, Florian Dalmas

{"title":"Influence of the Phenylephrine Test in Outcomes of External Levator Advancement for Involutional Ptosis.","authors":"Livia Chaneac, Baptiste Bertrand, Amaury Schmid, Laurent Guyot, Thierry David, Florian Dalmas","doi":"10.1097/IOP.0000000000002675","DOIUrl":"10.1097/IOP.0000000000002675","url":null,"abstract":"Purpose: This study aims to evaluate the influence of preoperative phenylephrine testing on the surgical outcome of patients undergoing surgery for involutional ptosis by external levator advancement.Methods: This was an observational, monocentric, retrospective study. Fifty-one eyelids from 32 patients, who had surgery between January 2018 and May 2023, were included for analysis. Preoperative clinical examination data were collected. Evaluation was performed at 1 month postoperatively. Surgical success was defined by a postoperative margin reflex distance between 3 and 5 mm inclusive. Symmetry success was defined by a difference in margin reflex distance between the 2 upper eyelids of no more than 1 mm.Results: The surgical success rate was 86%. A positive preoperative phenylephrine test was significantly associated with a better surgical success rate ( p = 0.01), including on symmetry ( p = 0.01). The secondary outcomes, namely preoperative margin reflex distance, function of the upper eyelid levator muscle, and unilaterality of surgery, were not statistically associated with surgical outcome.Conclusions: The phenylephrine test is a predictive factor of surgical success in patients undergoing external levator advancement. Our study suggests that patients with a negative phenylephrine test should be overcorrected intraoperatively.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076405","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

Metastatic Hepatocellular Carcinoma to the Orbit Presenting as a Subperiosteal Abscess. 转移到眼眶的肝细胞癌表现为骨膜下脓肿

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 Epub Date: 2024-05-22 DOI: 10.1097/IOP.0000000000002705

Carlthan Jih Mun Ling, James Lewis, Behin Barahimi

引用次数: 0

The Effect of Aromatherapy on Anxiety and Pain in Patients Undergoing Oculoplastic Surgery. 芳香疗法对眼部整形手术患者焦虑和疼痛的影响

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 Epub Date: 2024-05-22 DOI: 10.1097/IOP.0000000000002692

Michael Chang, Jamie Schaefer, Anthony Leonard, Pavithra Ranganathan Ellison, Ruifeng Cui, Raquel Evans, Nina Calvert, Bradley Thuro, Aaron Fay, John Nguyen

{"title":"The Effect of Aromatherapy on Anxiety and Pain in Patients Undergoing Oculoplastic Surgery.","authors":"Michael Chang, Jamie Schaefer, Anthony Leonard, Pavithra Ranganathan Ellison, Ruifeng Cui, Raquel Evans, Nina Calvert, Bradley Thuro, Aaron Fay, John Nguyen","doi":"10.1097/IOP.0000000000002692","DOIUrl":"10.1097/IOP.0000000000002692","url":null,"abstract":"Purpose: To determine the effect of aromatherapy on postoperative anxiety and pain in patients undergoing oculoplastic surgery.Methods: A randomized controlled study of 60 patients who underwent monitored anesthesia care sedation for oculoplastic procedures from August 2018 to November 2020. Patients were randomized to an aromatherapy (n = 32) or placebo (n = 28) condition. Anxiety was measured with State-Trait Anxiety Inventory and visual analog scale for anxiety. Pain was measured with a visual analog scale for pain.Results: Compared with control patients, aromatherapy patients had significantly lower postoperative State-Trait Anxiety Inventory state anxiety (24.1 vs. 29.1; p = 0.05) and visual analog scale pain scores (1.9 vs. 3.2; p = 0.05). Aromatherapy patients also had shorter stays in the postanesthesia care unit than control patients (57.7 vs. 79.4 minutes; p = 0.03).Conclusions: Patients who received aromatherapy reported lower postoperative anxiety and pain. Aromatherapy may be a useful adjuvant analgesic and/or anxiolytic for patients undergoing oculoplastic procedures with monitored anesthesia care sedation.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082264","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

Enhancing Patient Education Prior to Orbital Surgery Through Virtual Reality. 通过虚拟现实加强眼眶手术前的患者教育。

IF 1.2 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2024-11-01 DOI: 10.1097/IOP.0000000000002794

Ryan A Gallo, Stephanie Thermozier, Kevin Heinze, Pete Setabutr, Ann Q Tran

引用次数: 0