Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery最新文献_第2页

Chronic dacryocystitis due to Mycobacterium abscessus. 脓肿分枝杆菌引起的慢性泪囊炎

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2024-10-15 DOI: 10.1080/01676830.2024.2412121

Maria M Solbes-Gochicoa, Marissa K Shoji, Jimmy S Chen, Eman Al-Sharif, Don O Kikkawa, Bobby S Korn, Catherine Y Liu

{"title":"Chronic dacryocystitis due to Mycobacterium abscessus.","authors":"Maria M Solbes-Gochicoa, Marissa K Shoji, Jimmy S Chen, Eman Al-Sharif, Don O Kikkawa, Bobby S Korn, Catherine Y Liu","doi":"10.1080/01676830.2024.2412121","DOIUrl":"https://doi.org/10.1080/01676830.2024.2412121","url":null,"abstract":"Dacryocystitis, inflammation and infection of the lacrimal sac, is most commonly caused by infection from Staphylococcus and Streptococcus species. This report highlights a rare case of chronic dacryocystitis due to the atypical pathogen Mycobacterium abscessus. A 62-year-old woman presented with several months of left medial canthal pain, tenderness, and discharge. Exam demonstrated a left tender medial nodule, and imaging showed left lacrimal sac dilation and fluid collection consistent with dacryocystitis. She underwent external dacryocystorhinostomy with drainage and culture of the abscess, which was positive for M. abscessus. Her post-surgical treatment required an extended course of antibiotics, including omadacycline and azithromycin, with slow but progressive symptomatic improvement. This case is only the second reported case of dacryocystitis due to M. abscessus and suggests a role for culturing lacrimal sac abscesses intraoperatively due to the need for extended antibiotic therapy for atypical infections that may have high antibiotic resistance.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477625","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

Cryosurgery of eyelid actinic keratosis and the effect of adrenaline in local anesthetics - temperature mapping using IR thermography. 眼睑光化性角化病的冷冻手术和局部麻醉剂中肾上腺素的影响--使用红外热成像技术绘制温度图。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2024-10-09 DOI: 10.1080/01676830.2024.2403464

Anna Wiktorin, Elin Bohman, John Albinsson, Rafi Sheikh, Malin Malmsjö

{"title":"Cryosurgery of eyelid actinic keratosis and the effect of adrenaline in local anesthetics - temperature mapping using IR thermography.","authors":"Anna Wiktorin, Elin Bohman, John Albinsson, Rafi Sheikh, Malin Malmsjö","doi":"10.1080/01676830.2024.2403464","DOIUrl":"https://doi.org/10.1080/01676830.2024.2403464","url":null,"abstract":"Purpose: The efficacy of cryosurgery is believed to depend on the thaw time. The presence of adrenaline in local anesthetics affects blood perfusion, and may thus also affect the thaw time. The aim of the present study was to use IR thermography to monitor the tissue temperature during cryosurgery of actinic keratosis, and to assess the effect of adrenaline in local anesthetics.Methods: Twelve patients with actinic keratosis in the periorbital region underwent cryosurgery. The temperature was continuously mapped using a high-precision IR camera and was also visually assessed by the surgeon. The results obtained when employing local anesthetics with and without adrenaline were compared.Results: The temperature change during thawing showed a triphasic pattern. The thaw time was significantly longer when using an anesthetic with adrenaline. This was observed with both IR thermography and by visual observation.Conclusions: The findings indicate that a longer freezing time may be needed when using a local anesthetic without adrenaline to achieve the same cryo-effect as when using a local anesthetic with adrenaline. A larger clinical trial is needed on the effects of using local anesthetics with and without adrenaline to treat actinic keratosis, for example, the clearance rate, before recommendations can be made concerning their use.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396998","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

Canalicular fistula in a setting of chronic infective canaliculitis. 慢性感染性输卵管炎引起的输卵管瘘。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2024-10-01 Epub Date: 2021-07-12 DOI: 10.1080/01676830.2021.1949727

Pragya Saini, Nandini Bothra, Mohammad Javed Ali

引用次数: 0

Large congenital myopericytoma of the lower eyelid. 下眼睑巨大先天性肌瘤。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2024-10-01 DOI: 10.1080/01676830.2024.2403457

Barbara Salomão A Cunha, Larissa O Cassini Marques, Fernando Chahud, Antonio Augusto V Cruz

引用次数: 0

Image-guided navigation in posterior orbital tumour surgery: a comparative cohort study. 眼眶后部肿瘤手术中的图像引导导航：一项队列比较研究。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2024-10-01 Epub Date: 2024-04-30 DOI: 10.1080/01676830.2024.2343299

Rizwana I Khan, Aida Kafai Golahmadi, Ronan P Killeen, Donncha F O' Brien, Conor Murphy

{"title":"Image-guided navigation in posterior orbital tumour surgery: a comparative cohort study.","authors":"Rizwana I Khan, Aida Kafai Golahmadi, Ronan P Killeen, Donncha F O' Brien, Conor Murphy","doi":"10.1080/01676830.2024.2343299","DOIUrl":"10.1080/01676830.2024.2343299","url":null,"abstract":"Purpose: The posterior orbit is a confined space, harbouring neurovascular structures, frequently distorted by tumours. Image-guided navigation (IGN) has the potential to allow accurate localisation of these lesions and structures, reducing collateral damage whilst achieving surgical objectives.Methods: We assessed the feasibility, effectiveness and safety of using an electromagnetic IGN for posterior orbital tumour surgery via a comparative cohort study. Outcomes from cases performed with IGN were compared with a retrospective cohort of similar cases performed without IGN, presenting a descriptive and statistical comparative analysis.Results: Both groups were similar in mean age, gender and tumour characteristics. IGN set-up and registration were consistently achieved without significant workflow disruption. In the IGN group, fewer lateral orbitotomies (6.7% IGN, 46% non-IGN), and more transcutaneous lid and transconjunctival incisions (93% IGN, 53% non-IGN) were performed (p = .009). The surgical objective was achieved in 100% of IGN cases, with no need for revision surgery (vs 23% revision surgery in non-IGN, p = .005). There was no statistically significant difference in surgical complications.Conclusion: The use of IGN was feasible and integrated into the orbital surgery workflow to achieve surgical objectives more consistently and allowed the use of minimal access approaches. Future multicentre comparative studies are needed to explore the potential of this technology further.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853177","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

Incidence and clinical characteristics of congenital nasolacrimal duct obstruction with concurrent craniofacial abnormalities among a population-based cohort. 以人口为基础的队列中先天性鼻泪管阻塞同时伴有颅面畸形的发病率和临床特征。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2024-10-01 Epub Date: 2024-05-26 DOI: 10.1080/01676830.2024.2348019

Grayson Ashby, Brian G Mohney, Lilly H Wagner

{"title":"Incidence and clinical characteristics of congenital nasolacrimal duct obstruction with concurrent craniofacial abnormalities among a population-based cohort.","authors":"Grayson Ashby, Brian G Mohney, Lilly H Wagner","doi":"10.1080/01676830.2024.2348019","DOIUrl":"10.1080/01676830.2024.2348019","url":null,"abstract":"Purpose: Data supporting treatment recommendations for congenital nasolacrimal duct obstruction (CNLDO) in patients with craniofacial abnormalities is scarce. This study reports the incidence, clinical features, and outcomes of patients with concomitant craniofacial abnormalities and CNLDO.Methods: This multi-center, retrospective, population-based cohort study included all patients diagnosed with CNLDO before age 6 during a 10-year period in a single US county.Results: Of the 17,713 live births during the study period, 1998 infants were diagnosed with CNLDO, among whom 41 (2.05%) had associated congenital craniofacial abnormalities, yielding a birth prevalence of 23.1 (95% CI 16.6-31.4) per 10,000 live births. Craniofacial patients were significantly older at time of diagnosis (6.2 months) compared to uncomplicated CNLDO (3.7 months; p = 0.035). There was no significant difference in mean age at spontaneous CNLDO resolution, but 31.7% of craniofacial patients required probing for CNLDO resolution, compared to 14.5% in the CNLDO group (OR 2.76 [95%CI 1.41-5.39] p = 0.003). All but two patients with craniofacial abnormalities had resolution of symptoms after initial probing. Intraoperative probing findings indicated that 8 of 13 craniofacial patients had complex obstructions.Conclusions: The similar age at spontaneous resolution indicates that watchful waiting until approximately one year of age is a reasonable approach even in patients with craniofacial abnormalities, though more of these patients may require surgical intervention.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155650","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

Scope of practice of oculofacial plastic and reconstructive surgeons: a public perception survey. 眼面部整形与修复外科医生的执业范围：公众认知调查。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2024-10-01 Epub Date: 2024-05-30 DOI: 10.1080/01676830.2024.2348015

Fabliha A Mukit, Emily Y Kim, Grant Hilliard, Sophie Pilkinton, Marc E Walker, Matthew W Wilson, Brian T Fowler

{"title":"Scope of practice of oculofacial plastic and reconstructive surgeons: a public perception survey.","authors":"Fabliha A Mukit, Emily Y Kim, Grant Hilliard, Sophie Pilkinton, Marc E Walker, Matthew W Wilson, Brian T Fowler","doi":"10.1080/01676830.2024.2348015","DOIUrl":"10.1080/01676830.2024.2348015","url":null,"abstract":"Purpose: The purpose of this study is to determine the public's perception of the scope of practice for oculofacial plastic and reconstructive surgeons (OFPRS).Methods: A 49-question survey was distributed by QualtricsⓇ to a panel similar to the US demographic composition. Responses collected underwent bivariate statistical analysis.Result: A total of 530 responses were obtained, with most respondents being white, female, over the age of 35, from the Midwest, and with at least a college education or above. Most respondents did not think ophthalmologists or optometrists were surgeons, and only 158 people (29.8%) knew the primary specialty of OFPRS was ophthalmology. Board certification was preferred by 98.87% of respondents, and 95.28% preferred ASOPRS-trained OFPRS.Conclusions: Our study highlights the gap in knowledge about OFPRS as a field, the qualifications and training required, and the scope of practice. Notably, even for OFPRS-specific procedures, PRS remained the leading subspecialist chosen for interventions such as orbital decompression (58.5% vs. 71.5%), orbital reconstruction (57.9% vs. 74.2%), enucleation/evisceration (48.1% vs. 53.4%), optic nerve-related surgery (39.8% vs. 43.4%), orbital cancer resection (42.8% vs. 46.8%), and tear duct surgery (41.9% vs. 52.5%). Additionally, most respondents did not feel that facial fillers, laser skin resurfacing, eyelid cancer removal, or cataract surgery were within the OFPRS scope of practice.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180960","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

Congenital orbital fibrosis: report of two cases and review of literature. 先天性眼眶纤维化：两例病例报告和文献综述。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2024-10-01 Epub Date: 2023-06-20 DOI: 10.1080/01676830.2023.2223686

Md Shahid Alam, Soham S Pal, Subramanian Krishnakumar

{"title":"Congenital orbital fibrosis: report of two cases and review of literature.","authors":"Md Shahid Alam, Soham S Pal, Subramanian Krishnakumar","doi":"10.1080/01676830.2023.2223686","DOIUrl":"10.1080/01676830.2023.2223686","url":null,"abstract":"A 7-year-old male child presented with complaints of lagophthalmos and lid retraction of the right eye since birth. Magnetic resonance imaging (MRI) showed diffuse thickening of right superior rectus and levator-palpebrae complex along with a hypointense, irregular, and ill-defined lesion in the adjoining fat abutting the lacrimal gland. Biopsy from the lesion showed diffuse orbital fibrosis. Another 3-year-old female child presented with complaints of her right eye appearing smaller and inability to move the right eye freely since birth. MRI showed thickening of right superior and medial recti with diffuse retrobulbar hypointense fibrotic strands. The findings were suggestive of orbital fibrosis. Congenital orbital fibrosis is an extremely rare orbital pathology with very few cases described in the literature. The most common clinical features are motility restriction, restrictive strabismus, upper lid retraction, enophthalmos, and proptosis. The diagnosis can be made on imaging but requires biopsy for confirmation. Management is mostly conservative in the form of refractive and amblyopia therapy.","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10024865","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

Meshed dermal regeneration template for traumatic periocular tissue loss in the young population. 用于治疗年轻人外伤性眼周组织缺损的网状真皮再生模板。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2024-10-01 Epub Date: 2023-09-07 DOI: 10.1080/01676830.2023.2246152

Sarah A Avila, Ted Wojno, Adam G de la Garza, Hee J Kim

引用次数: 0

Varicella zoster virus meningoencephalitis presenting as orbital myositis - a case report. 表现为眼眶肌炎的水痘带状疱疹病毒脑膜脑炎--病例报告。

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Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2024-10-01 Epub Date: 2023-08-25 DOI: 10.1080/01676830.2023.2248632

Akash Gowda, Jessica Y Tong, Dinesh Selva

引用次数: 0