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Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery最新文献

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Using topical antioxidants to protect against photodamage and improve skin care 使用局部抗氧化剂防止光损伤，改善皮肤护理
Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery Pub Date : 2001-06-01 DOI: 10.1076/OTOO.4.2.62.16581
D. Madey, S. Pinnell
{"title":"Using topical antioxidants to protect against photodamage and improve skin care","authors":"D. Madey, S. Pinnell","doi":"10.1076/OTOO.4.2.62.16581","DOIUrl":"https://doi.org/10.1076/OTOO.4.2.62.16581","url":null,"abstract":"Scientists know that extrinsic factors cause approximately 90% of skin aging including wrinkles, roughness, mottled pigmentation, and loss of elasticity. Sunlight and cigarette smoking primarily are responsible for generating harmful oxygen free radicals that damage and destroy skin. New methods to protect skin are necessary if we are to conquer skin cancer and photoaging. Sunscreens are useful, but their protection is not ideal because of inadequate use, incomplete spectral protection and toxicity. Skin naturally uses antioxidants to protect itself from photodamage. This article summarizes what is know about how photodamage occurs; why sunscreens are inadequate; how key antioxidants (vitamin C and vitamin E) help prevent and repair skin damage; and how physicians use topical antioxidants to improve their patients’ surgical results, prevent further damage, and help correct a variety of skin conditions including acne rosacea, wrinkling, mottled pigmentation, purpura, and melasma.","PeriodicalId":206710,"journal":{"name":"Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery","volume":"79 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114129337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Eyebrow and eyelash reconstruction 眉毛和睫毛重建
Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery Pub Date : 2001-06-01 DOI: 10.1076/OTOO.4.2.94.16577
M. Gandelman
{"title":"Eyebrow and eyelash reconstruction","authors":"M. Gandelman","doi":"10.1076/OTOO.4.2.94.16577","DOIUrl":"https://doi.org/10.1076/OTOO.4.2.94.16577","url":null,"abstract":"Eyebrow and eyelash reconstruction surgery improves appearance and patient’s self-esteem and represents a new niche for the oculoplastic surgeon. Both eyebrow and eyelash reconstruction surgeries are easily accomplished at a well-equipped clinic. The author’s experience in reconstructing eyebrows and eyelashes using hair follicular unit transplantation is described, as well as etiology of eyebrows and eyelashes loss, initial consultation approach and preoperative planning. With this technique eyebrow and eyelash defects can be reconstructed, controlling position and shape and maintaining a natural aspect, which is superior to scalp hair strips, temporal artery island flaps and punch hair transplantation.","PeriodicalId":206710,"journal":{"name":"Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117289498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Indications and limitations of cosmetic botulinum toxin type A 化妆品A型肉毒毒素的适应症和局限性
Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery Pub Date : 2001-06-01 DOI: 10.1076/OTOO.4.2.81.16585
K. Moriarty
{"title":"Indications and limitations of cosmetic botulinum toxin type A","authors":"K. Moriarty","doi":"10.1076/OTOO.4.2.81.16585","DOIUrl":"https://doi.org/10.1076/OTOO.4.2.81.16585","url":null,"abstract":"Botulinum toxin type A has recently been licensed for cosmetic use for the glabellar frown in the USA (Botox Cosmetic ®, Allergan Inc), and has been used extensively since the early 1990s for the management of other wrinkles such as crow’s feet, horizontal forehead wrinkles, perioral lines and neck wrinkles. Botox ® is currently the only Botulinum toxin available in the USA but other European and South American countries may choose between Botox Cosmetic ® and Dysport ® (Ipsen pharmaceuticals). Differences relate to the time of onset of paralysis and the degree of diffusion of the toxin from the injection site. Both types have their own advantages. Limitations of use of Botulinum toxin type A relate in particular to the patient’s skin tone, eyebrow position, lid lash distance and position of their zygomatic arch. Long-term use is affected by the balance between hypertrophy of untreated muscle and atrophy of treated muscles. Careful analysis of facial features during the initial consultation will indicate ...","PeriodicalId":206710,"journal":{"name":"Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115046387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Problems associated with porous orbital implants 多孔眼窝植入物的相关问题
Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery Pub Date : 2001-03-01 DOI: 10.1076/OTOO.4.1.39.8492
D. Jordan
{"title":"Problems associated with porous orbital implants","authors":"D. Jordan","doi":"10.1076/OTOO.4.1.39.8492","DOIUrl":"https://doi.org/10.1076/OTOO.4.1.39.8492","url":null,"abstract":"Purpose. To assess the problems and complications associated with the use of 120 synthetic hydroxyapatite (HA) implants and contrast them to other currently available porous orbital implants (Bio-Eye®, Molteno® M-Sphere TM, Brazilian HA, Chinese HA, Medpore TM – porous polyethylene and Bioceramic implants). Methods. The authors analyzed all of the problems and/or complications associated with the use of a synthetic hydroxyapatite implant (FCI 3) in 120 patients by one surgeon over 4 years. The following data were recorded: age, type of surgery performed, size of implant used, peg system used, follow-up duration, time of pegging, problems and/or complications encountered, and treatment. Results. Thirteen patients were lost to follow up after 3 months, leaving 107 patients who were followed from 4 to 48 months (average 29 months). Discharge occurred in 21 (19.6%) patients, implant exposure in 3 (2.8%), socket discomfort in 2 (1.9%), trochleitis in 2 (1.9%), conjunctival thinning in 1 (0.93%), pyogenic granu...","PeriodicalId":206710,"journal":{"name":"Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126615510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical technical note: Evisceration using the Russian-doll technique and the parachute technique 手术技术说明:使用俄罗斯娃娃技术和降落伞技术进行内脏切除
Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery Pub Date : 2001-03-01 DOI: 10.1076/OTOO.4.1.25.8496
J. Adenis, J. Rulfi, P. Robert
{"title":"Surgical technical note: Evisceration using the Russian-doll technique and the parachute technique","authors":"J. Adenis, J. Rulfi, P. Robert","doi":"10.1076/OTOO.4.1.25.8496","DOIUrl":"https://doi.org/10.1076/OTOO.4.1.25.8496","url":null,"abstract":"The authors describe a new technique of evisceration after resection of the corneal epithelium and limbus, with preservation of the posterior layer of the cornea and anterior sclera, after a 360° dissection of the sclera behind the insertion of the oculomotor rectus muscles, and preservation of the insertions of the rectus muscles. The technique is designated “Parachute” when the posterior sclera is excised, and “Russian doll” when the posterior sclera is preserved and is behind the orbital implant. The implant is inserted at the end of the procedure with a “birdcage” forceps. The indications of these techniques are those of conventional evisceration when the size of the globe remaining is at least a third of the volume of a normal eye.","PeriodicalId":206710,"journal":{"name":"Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127753234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Past and present trends in intraorbital biointegrated macroporous material implants 眼内生物集成大孔材料植入体的历史与现状
Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery Pub Date : 2001-03-01 DOI: 10.1076/OTOO.4.1.30.8494
J. Rulfi, J. Adenis
{"title":"Past and present trends in intraorbital biointegrated macroporous material implants","authors":"J. Rulfi, J. Adenis","doi":"10.1076/OTOO.4.1.30.8494","DOIUrl":"https://doi.org/10.1076/OTOO.4.1.30.8494","url":null,"abstract":"The concept of intra-orbital implant goes back to 1841 and its history is directly linked to that of the surgical reconstruction of the anophthalmic orbit. After having used a multitude of materials, the majority of surgeons today commonly use bioceramics such as coralline hydroxyapatite or synthetic hydroxyapatite. Porous alumina, a recently developed bioceramic widely used in orthopedic surgery, has been used as a human intra-orbital implant. The preliminary results concerning the aesthetic aspect, implant mobility, local tolerance and fibrovascular colonization are promising and comparable to those obtained with current hydroxyapatite implants.","PeriodicalId":206710,"journal":{"name":"Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129705469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Repair of hydroxyapatite orbital implant exposure with a conjunctival Muller muscle flap 结膜穆勒肌瓣修复羟基磷灰石眼窝植入物外露
Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery Pub Date : 2001-03-01 DOI: 10.1076/OTOO.4.1.36.8493
T. Mourgues, J. Adenis
{"title":"Repair of hydroxyapatite orbital implant exposure with a conjunctival Muller muscle flap","authors":"T. Mourgues, J. Adenis","doi":"10.1076/OTOO.4.1.36.8493","DOIUrl":"https://doi.org/10.1076/OTOO.4.1.36.8493","url":null,"abstract":"Exposure is the most frequent complication with hydroxyapatite orbital implants. We recommend three different surgical approaches to repair exposure of hydroxyapatite implants with a conjunctiva-Muller muscle pedicled flap. In the first technique, this conjunctiva-Muller muscle flap is cut at the superior edge of the tarsal plate. In the second technique, it is divided at the origin of the levator aponeurosis. In the third technique, part of the superior tarsus is included with the Muller muscle in the flap. A second surgical procedure is necessary to divide the pedicle. This is a recent approach to treating orbital implant exposure, the vascularized tissue improving fibrovascular ingrowth.","PeriodicalId":206710,"journal":{"name":"Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115095706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Reconstruction of orbital exenteration 眼眶剜出重建
Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery Pub Date : 2001-03-01 DOI: 10.1076/OTOO.4.1.56.8495
P. Barraco
{"title":"Reconstruction of orbital exenteration","authors":"P. Barraco","doi":"10.1076/OTOO.4.1.56.8495","DOIUrl":"https://doi.org/10.1076/OTOO.4.1.56.8495","url":null,"abstract":"After spontaneous healing over a period of several months, an osteo-ingrated system in the orbital rim is used for reconstruction after exenteration of the orbit. A prosthesis which gives a good cosmetic result can then be used. In the case of eyelid preservation, it is possible to build a mucous socket in front of the filling using temporal muscle. The galea flap is less exposed to retraction than mucous grafts. In cases requiring a palliative procedure, transposition of the temporalis muscle covered with a skin graft is the technique of choice. Enlarged exenteration to the face requires the connection of free flaps to vascular pedicles of the face.","PeriodicalId":206710,"journal":{"name":"Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124541474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Normal orbital volumes and its pathology in orbital socket surgery 眼眶手术中正常眼眶体积及其病理
Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery Pub Date : 2001-03-01 DOI: 10.1076/OTOO.4.1.3.8497
C. Hintschich, F. Zonneveld, L. Koornneef
{"title":"Normal orbital volumes and its pathology in orbital socket surgery","authors":"C. Hintschich, F. Zonneveld, L. Koornneef","doi":"10.1076/OTOO.4.1.3.8497","DOIUrl":"https://doi.org/10.1076/OTOO.4.1.3.8497","url":null,"abstract":"The present article reviews current knowledge on orbital volumes in the anophthalmic socket and presents the authors' own results on the volumetry of the bony and soft tissue compartments following enucleation. These results provide strong evidence that enucleation in both children and adults is associated with a reduction of bony orbital volume and that this decrease in orbital volume increases with time. However, the reduction is smaller than generally assumed and does not cause obvious facial asymmetry. It is more related to the time interval since enucleation than the age at enucleation, which makes a mechanism of volume adaptation more likely than just retardation of growth. However, based on animal studies, the extent and consequences of bony orbital changes after early enucleation in childhood have until now been overstimated. Loss of the eyeball takes major responsibility for soft tissue volume reduction and can be variable due to marked inter-individual variations. Primarily, there is no shortage...","PeriodicalId":206710,"journal":{"name":"Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132270582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Dermis-fat graft in orbital surgery 真皮脂肪移植在眼眶手术中的应用
Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery Pub Date : 2001-03-01 DOI: 10.1076/OTOO.4.1.15.8491
J. Lasudry, P. Jonckheere, P. Robert, J. Adenis
{"title":"Dermis-fat graft in orbital surgery","authors":"J. Lasudry, P. Jonckheere, P. Robert, J. Adenis","doi":"10.1076/OTOO.4.1.15.8491","DOIUrl":"https://doi.org/10.1076/OTOO.4.1.15.8491","url":null,"abstract":"The dermis-fat graft is composed of dermis and appended subcutaneous fat, after removal of the epidermis. It is a technique that offers the advantages of an autologous graft, with no risk of infectious transmission, no cost, and excellent cosmetic and functional results. The disadvantages include a certain lack of predictability, and the presence of a donor site. It is best used as a primary procedure in selected patients, in case of enucleation, evisceration or exenteration. It is less predictable, but sometimes still the best option in secondary procedures, such as socket reconstruction, orbital implant extrusion and correction of the post-enucleation socket syndrome. The most important technical aspect to respect is the vascular supply of the recipient bed, and avoidance of any unnecessary cautery. Proper suture techniques are also of importance to prevent complications. Complications are usually minor, but frequent.","PeriodicalId":206710,"journal":{"name":"Operative Techniques in Oculoplastic, Orbital and Reconstructive Surgery","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131045812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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