Ophthalmic Plastic and Reconstructive Surgery最新文献_第8页

Progress of Baggy Eyelid: An Anatomical Study. 眼睑松弛的解剖学研究进展。

IF 1.3 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-09-01 Epub Date: 2025-01-06 DOI: 10.1097/IOP.0000000000002906

Hirohiko Kakizaki, Jose Miguel Ambat, Munekazu Naito, Yasuhiro Takahashi

{"title":"Progress of Baggy Eyelid: An Anatomical Study.","authors":"Hirohiko Kakizaki, Jose Miguel Ambat, Munekazu Naito, Yasuhiro Takahashi","doi":"10.1097/IOP.0000000000002906","DOIUrl":"10.1097/IOP.0000000000002906","url":null,"abstract":"Purpose: To examine microscopically the progress of baggy eyelid formation in the lower eyelid.Methods: Histological evaluation of 17 central lower eyelids (11 right and 6 left) from 13 Japanese cadavers (age range: 36-97 years, average: 73.0 years) was performed. The specimens were fixed in 10% formalin and stained with Masson's Trichrome. The following characteristics were examined: 1) presence of baggy eyelid, 2) thickness of the orbital septum, 3) presence of anterior protrusion of fat and/or orbicularis oculi muscle (OOM), 4) thickness of OOM and subcutaneous tissue at the widest anterior protrusion, and 5) skin thickness.Results: The findings were divided into 4 stages: stage 0 (2 eyelids in 1 specimen) absent baggy eyelid, all tissues normal, stage 1 (1 eyelid in 1 specimen) absent baggy eyelid, intermediate orbital septum, anterior dome-like protrusion of fat but minimal OOM projection, thick OOM, subcutaneous tissue, and skin, stage 2 (9 eyelids in 7 specimens) absent or minimal baggy eyelid, intermediate orbital septum, anterior dome like protrusion of fat and OOM, intermediate OOM, with thick subcutaneous tissue and skin, stage 3 (5 eyelids in 4 specimens) with present baggy eyelid, thin orbital septum, severe anterior dome like protrusion of fat and OOM, with thin OOM, subcutaneous tissue and thick skin in mild type, with thin skin in severe type.Conclusions: Baggy eyelid appears to be triggered by the anterior protrusion of fat, followed by thinning of the orbital septum, OOM, and subcutaneous tissue in order. Thinner skin may promote severe entity.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"589-592"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932147","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

Basal Cell Carcinoma in Lacrimal Sac: An Exceptional Histopathological Finding. 泪囊基底细胞癌：特殊的组织病理学发现

IF 1.3 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-09-01 Epub Date: 2025-03-28 DOI: 10.1097/IOP.0000000000002942

Gonzalo Roig-Ferreruela, Elena Arias-García, Cristina Martínez-Gil, Luis Alfaro-Ferreres, Rafael Araújo-Miranda, Salvador García-Delpech, Raúl Martínez-Belda

引用次数: 0

Reconstruction of Bilateral Upper Eyelid Colobomas Using a Vertical Temporal Advancement Flap. 利用垂直颞部前移皮瓣重建双侧上眼睑结节瘤

IF 1.3 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-09-01 Epub Date: 2025-03-28 DOI: 10.1097/IOP.0000000000002937

Asem T Mustafa, Kenneth V Cahill, Llwyatt K Hofer, Jill A Foster

引用次数: 0

Intralesional Bleomycin Palliation: An Option for Nonoperative Sebaceous Cell Carcinoma of the Eyelid. 病灶内博来霉素缓解：眼睑皮脂腺细胞癌非手术治疗的一种选择。

IF 1.3 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-09-01 Epub Date: 2025-05-06 DOI: 10.1097/IOP.0000000000002949

Daisy Liu, Angela Oh, Ashley Shirriff, Erica Wilson Rapola, Pallavi Singh, Taras Gout, Robert A Goldberg

引用次数: 0

Squamous Cell Carcinoma of the Conjunctiva: A Population-Based Study on Epidemiologic Trends, Cancer-Specific Survival Patterns, and the Risk of Second Malignant Neoplasms, 1975 to 2016. 结膜鳞状细胞癌：1975年至2016年流行病学趋势、癌症特异性生存模式和二次恶性肿瘤风险的基于人群的研究

IF 1.3 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-09-01 Epub Date: 2025-01-03 DOI: 10.1097/IOP.0000000000002900

Abanoob F Tadrosse, Marina F Tadrosse, Marco E Lotfalla, Peter A Messiha, Jean A Eloy, Paul D Langer

{"title":"Squamous Cell Carcinoma of the Conjunctiva: A Population-Based Study on Epidemiologic Trends, Cancer-Specific Survival Patterns, and the Risk of Second Malignant Neoplasms, 1975 to 2016.","authors":"Abanoob F Tadrosse, Marina F Tadrosse, Marco E Lotfalla, Peter A Messiha, Jean A Eloy, Paul D Langer","doi":"10.1097/IOP.0000000000002900","DOIUrl":"10.1097/IOP.0000000000002900","url":null,"abstract":"Purpose: To analyze the national epidemiologic trends of squamous cell carcinoma of the conjunctiva (SCCC) over 4 decades, providing the largest report on disease-specific survival (DSS) outcomes and investigating the risk of developing second primary neoplasms in these patients.Methods: This retrospective, population-based cohort study analyzed 1,172 patients diagnosed with SCCC from January 1, 1975, through December 31, 2016. Data were extracted from the US Surveillance, Epidemiology, and End Results database. Incidence, DSS, and the relative risk (95% confidence interval) of developing second primary neoplasms were studied.Results: SCCC incidence (0.45/million/year) increased during the study's time period (regression coefficient = 0.004, p = 0.002), primarily due to an increasing incidence in women (regression coefficient = 0.004, p = 0.003) and in White (regression coefficient = 0.006, p = 0.007) patients. The 5-year DSS was 95.4%. Sex and race did not impact survival. Patients residing in the Midwestern United States exhibited the lowest survival compared with other regions with a 5-year DSS of 85.2% ( p = 0.008). White male SCCC patients are at an increased risk, compared with the general population, of developing second primary neoplasms of the liver (relative risk = 4.8 [1.3-12.4]; p < 0.05), respiratory tract (relative risk = 2.3 [1.4-3.6]; p < 0.05), and skin (relative risk = 3.7 [1.8-6.9]; p < 0.05).Conclusions: SCCC incidence has been increasing in the United States. DSS is substantially higher than the overall survival previously reported in the literature. The area of residence significantly impacts survival. White men with SCCC are at an increased risk of developing second primary neoplasms of different organ systems.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"516-529"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142922503","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

Metastastic Tumors to the Lacrimal Gland from Distant Primary Cancer. 远端原发癌向泪腺转移的肿瘤。

IF 1.3 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-09-01 Epub Date: 2024-12-24 DOI: 10.1097/IOP.0000000000002884

Ilse Mombaerts, Khizar Rana, David H Verity, Raman Malhotra, Eugenie W T Poh, Dinesh Selva

{"title":"Metastastic Tumors to the Lacrimal Gland from Distant Primary Cancer.","authors":"Ilse Mombaerts, Khizar Rana, David H Verity, Raman Malhotra, Eugenie W T Poh, Dinesh Selva","doi":"10.1097/IOP.0000000000002884","DOIUrl":"10.1097/IOP.0000000000002884","url":null,"abstract":"Purpose: To characterize the clinical, radiological, and pathological features of patients with metastases to the lacrimal gland from distant primaries.Methods: Multicenter retrospective case series and a review of the literature of cases of metastases to the lacrimal gland.Results: The authors present 4 cases of lacrimal gland metastases, with the primaries being renal cell (n = 2) and breast (n = 2) carcinoma. The literature review identified 40 additional cases (19 male, mean age, range 21-84 years) of lacrimal gland metastasis. Based on these 44 cases, including 4 from the present study, 2 patterns of metastasis were identified: 23 cases (52.3%, 23/44) with lacrimal gland enlargement without bony erosion, and 21 cases (47.7%, 21/44) with associated bony erosion of the superolateral orbit of whom 12 (57.1%, 12/21) had intracranial extension. The most common primary for lacrimal gland metastasis without bony erosion was breast cancer (56.5%, 13/23), whereas hepatocellular carcinoma was the most common cause of lacrimal gland metastasis with bony erosion (52.4%, 11/21). Lacrimal gland metastasis was the first presentation of cancer in 15 cases (34.1%, 15/44) and was the first presentation of metastasis in 12 cases (27.3%, 12/44).Conclusions: Metastasis to the lacrimal gland is a potential cause of lacrimal gland enlargement. It may be the initial sign of distal occult cancer or occult metastatic disease. Different patterns of metastasis may be seen with different underlying primaries.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"504-515"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882560","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

Reply Re: "Efficacy of Silicone Gel Versus Placebo for Postsurgical Scars of the Eyelids: A Randomized, Controlled, Double-Blinded Study". 回复：“硅胶与安慰剂对术后眼睑疤痕的疗效：一项随机、对照、双盲研究”。

IF 1.3 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-09-01 Epub Date: 2025-09-08 DOI: 10.1097/IOP.0000000000003033

Troy S Karanfilian, Tobin Thuma, Tiffany Cheng, Ricky Paramo, Jee-Young Moon, Sruti Akella, Anne Barmettler

引用次数: 0

Reply Re: "CADS as a Decision-making Tool: Developing an Oculoplastic Management Algorithm for Facial Nerve Palsy". 回复：“CADS作为决策工具：开发面神经麻痹的眼整形管理算法”。

IF 1.3 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-09-01 Epub Date: 2025-09-08 DOI: 10.1097/IOP.0000000000003028

Anthony Yao, Raman Malhotra

引用次数: 0

Immediate Stentless Lacrimal Sac to Conjunctiva Reconstructive Ostomy for Cancer and Trauma Defects: LACROS (Conjunctivodacryocystostomy). 即时无支架泪囊至结膜重建造口术治疗癌症和创伤性缺陷：结膜泪囊造口术。

IF 1.3 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-09-01 Epub Date: 2025-01-22 DOI: 10.1097/IOP.0000000000002911

Francisco J Villegas-Alzate

{"title":"Immediate Stentless Lacrimal Sac to Conjunctiva Reconstructive Ostomy for Cancer and Trauma Defects: LACROS (Conjunctivodacryocystostomy).","authors":"Francisco J Villegas-Alzate","doi":"10.1097/IOP.0000000000002911","DOIUrl":"10.1097/IOP.0000000000002911","url":null,"abstract":"Purpose: To describe and evaluate the efficacy and safety of lacrimal sac to conjunctiva reconstructive ostomy for proximal lacrimal system reconstruction.Methods: This retrospective study included 41 patients (32 cancer and 9 trauma; 36 primary and 5 secondary) who underwent lacrimal sac to conjunctiva reconstructive ostomy. The technique involves creating a direct connection between a surgical opening in the lacrimal sac, which maintains its bony attachments to prevent ostomy occlusion, and the medial conjunctiva (medial fornix, bulbar, and palpebral). Interrupted 7-0 polyglactin 910 sutures were used to form a 3- to 5-mm-diameter lined conduit. Stenting was not employed. When necessary, oral mucosa or mucoperiosteal grafts and local flaps were utilized for reconstruction. Outcomes were assessed by epiphora prevention, the functional patency of the lacrimal ostomy, and the patient-reported nasolacrimal duct obstruction symptom score.Results: On examination, all patients demonstrated canalization of the lacrimal sac to the conjunctival reconstructive ostomy, as evidenced by unobstructed tear drainage. Complications occurred in 17% of cases, including periorbital edema, chemosis, diplopia, and conjunctival granuloma. The average nasolacrimal duct obstruction symptom score for lacrimal-ocular symptoms was 3.1/10 and for nasal symptoms was 2.3/10 (0 best, 10 worst). Tearing was the least prominent complaint (0.8/10), with 1 patient reporting permanent tearing (6/10).Conclusion: Lacrimal sac to conjunctiva reconstructive ostomy proves to be a valuable procedure for immediate and delayed proximal lacrimal system reconstruction in cancer and trauma cases due to its straightforward and stent-free approach and its favorable 8-year outcomes.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":"544-548"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009200","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

Characterization, Epidemiology, and Outcomes of Periocular Dog Bites in Children. 儿童犬眼周咬伤的特征、流行病学和结果。

IF 1.3 4区医学

Ophthalmic Plastic and Reconstructive Surgery Pub Date : 2025-08-29 DOI: 10.1097/IOP.0000000000003048

Paulina N Truong, Elizabeth A Merlinsky, George A Villatoro, Lucy I Mudie, Michael T Yen, Katherine J Williams

{"title":"Characterization, Epidemiology, and Outcomes of Periocular Dog Bites in Children.","authors":"Paulina N Truong, Elizabeth A Merlinsky, George A Villatoro, Lucy I Mudie, Michael T Yen, Katherine J Williams","doi":"10.1097/IOP.0000000000003048","DOIUrl":"https://doi.org/10.1097/IOP.0000000000003048","url":null,"abstract":"Purpose: To characterize the presentation, management, epidemiology, and long-term outcomes of periocular dog bites in 150 pediatric patients at a tertiary referral center, Texas Children's Hospital in Houston, Texas.Methods: We performed a retrospective chart review from 2011 to 2024 of patients with a diagnosis of \"dog bite\" or one of 120 eye-related International Classification of Disease (ICD)-10 codes, and an inpatient ophthalmology consult. We collected data on clinical presentation, work-up, management, and outcomes.Results: We identified 150 patients with periocular injury (mean age = 5.1, SD = 3.80, range = 0.75-16 years; 47.3% male, 52.7% female). Common injuries included eyelid lacerations (92.7%), canalicular lacerations (25.3%), brow lacerations (15.3%), and orbital fractures (12.0%). The mean age of patients with and without orbital fractures was 2.1 and 5.4 years (p = 0.010). Infection was diagnosed in 15 patients (10.0%). Using multivariate logistic regression, age ≤2 was a predictor of infection (adjusted OR = 1.12, p = 0.017). Initial administration of intravenous antibiotics, repair in the emergency department versus operating room, and time to repair ≥12 hours were not statistically significant predictors of infection (adjusted odds ratio = 0.91, 0.99, 0.99; p = 0.10, 0.83, 0.92, respectively). Common surgeries included eyelid laceration repair (82.0%), canalicular repair (26.0%), and orbital fracture repair (2.0%).Conclusions: We demonstrate an increase in dog bites over time, with a spike in 2020. Most bites resulted from a familiar animal; the American Staffordshire terrier (pitbull) was the most common known breed. Eyelid lacerations and injuries to canaliculi, brows, and orbits are most common. Complications and reoperations are rare. Physicians should counsel families on safe interactions with dogs.","PeriodicalId":19588,"journal":{"name":"Ophthalmic Plastic and Reconstructive Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963844","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