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30건 · 최신순-
Do Botulinum Toxin Injections for Upper Face Rejuvenation and Lateral Canthal Rhytids Have Unintended Effects on Tear Production?
[PURPOSE] To report the influence of botulinum toxin A (BoNTA) injections on basal tear production, as measured by Schirmer's test with anesthesia in patients seeking eyelid surgery. [METHODS] A retrospective cohort of patients requesting …
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A Comparative Study of Platysmal Myoneurectomy With Variations of Selective Neurectomies in Post-Facial Palsy Synkinesis.
Synkinesis is a distressing sequela of facial palsy. The main treatment for this condition has been Botulinum toxin injections. However, more recently, selective neurolysis/neurectomies have shown promise, with some variations in practice e…
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Upper Eyelid Medial Fat Reduction and Pearl Grafting: A Modification and Review of Literature.
[BACKGROUND] With age, there is a progressive volume disparity between the prominent medial fat pad and the atrophic central fat pad of the upper eyelid. We present a literature review of upper eyelid fat redistribution techniques and descr…
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Navigating Lower Eyelid Blepharoplasty in Patients with Under-Eye Filler: Challenges, Complications, and Recommendations.
[BACKGROUND] To report on the clinical course of patients with a history of hyaluronic acid (HA) filler injections undergoing lower eyelid blepharoplasty, including pre-operative, intra-operative and post-operative effects of HA filler. [M…
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Patient-reported outcomes following a break in ophthalmic botulinum toxin therapy during the COVID-19 pandemic.
[OBJECTIVE] To evaluate the effect of a break in botulinum toxin treatment, necessitated by the COVID-19 pandemic, on patients' quality of life. [METHODS] Prospective cohort study of all patients undergoing incobotulinumtoxinA treatment in…
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Evaluating the Effectiveness of Lacrimal Gland Botulinum Toxin Using the TEARS Score.
[PURPOSE] Botulinum toxin (BoNTA) lacrimal gland injections are one treatment option for managing epiphora. Outcomes for epiphora in existing studies are subjective and lack grading. This study utilized validated grading instruments to eval…
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Diagnosis and Management of Retrograde Cricopharyngeal Dysfunction: A Systematic Review.
[OBJECTIVE] Retrograde cricopharyngeal dysfunction (R-CPD) is a syndrome with rapidly increasing awareness since being first described in March 2019. As such, few cases of R-CPD are currently reported in the literature. The goal of this stu…
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Delayed Optic Neuropathy Caused by Orbital Hyaluronic Filler Injection and Recovery Following Hyaluronidase Treatment.
A 26-year-old female presented with left enophthalmos following orbital floor and medial wall fracture despite surgical repair. She underwent further exploration and surgical repair but the enophthalmos persisted at 3-4 mm. Following discus…
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Complications and adverse effects of periocular aesthetic treatments.
The popularity and variety of temporary and permanent periocular aesthetic treatments has increased over the past decade. Patients frequently present to eye clinics with ocular complications and side effects following these treatments, thei…
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Bacteriostatic preserved saline for pain-free periocular injections: review.
We review evidence regarding the use of 0.9% benzyl alcohol in 0.9% sodium chloride solution for periocular injections ('preserved saline') including botulinum toxin A injections and local anaesthesia. A literature search was undertaken usi…
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Comparative Study of Multimodal Therapy in Facial Palsy Patients.
In chronic facial palsy, synkinetic muscle overactivity and shortening causes muscle stiffness resulting in reduced movement and functional activity. This article studies the role of multimodal therapy in improving outcomes. Seventy-five…
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Analysis of the impact of chronic corticosteroid use on free flap reconstruction.
[BACKGROUND] Systemic corticosteroids negatively impact wound healing, potentially increasing postoperative wound complication rates. In this study, the authors utilize the American College of Surgeons (ACS) National Surgical Quality Improv…
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Pediatric Replantation after Traumatic Amputation at the Distal Forearm: Rehabilitation Protocol and Outcomes.
Major limb replantation is a formidable task, especially in the pediatric setting. While meticulous microsurgical technique is required in the operating room, the authors aim to highlight the importance of postoperative rehabilitation thera…
- Reconstructive Alternative to the Osteocutaneous Free Flap in a Patient With Severe Peripheral Vascular Disease.
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The Cost of the "July Effect" in Microsurgery.
The existence of the "July effect," or the idea that the new academic year intrinsically has an increased complication rate is evaluated in microsurgical free tissue transfer procedures. The National Surgical Quality Improvement Program reg…
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The Impact of Metabolic Syndrome on Patients Undergoing Breast Reduction Surgery.
Metabolic syndrome affects 35% of individuals in the USA and has been correlated with increased complications following certain surgical procedures. There has been an increase of 11% in breast reduction procedures from 2016 to 2017 making i…
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Reporting outcomes of hyaluronic gel filler as a treatment for epiblepharon.
[PURPOSE] Epiblepharon occurs when an extra skin fold overlaps on the eyelid margin with the isolated form mainly seen in children of east Asian origin. If symptomatic and the use of conservative measures such as lubricants have failed, sur…
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Long-term outcome of flexible onabotulinum toxin A treatment in facial dystonia.
[PURPOSE] The purpose of this study was to assess the long-term outcome of onabotulinum used to treat facial dystonia and compare a flexible and fixed treatment regimen. [METHODS] This was a retrospective comparative study looking at benig…
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Non-aesthetic indications for periocular hyaluronic acid filler treatment: a review.
Dermal fillers have been in use for many years for aesthetic rejuvenation of the face. More recently, however, fillers have been increasingly used as an alternative to traditional surgical procedures for non-aesthetic indications. These ind…
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Deep Orbital Sub-Q Hyaluronic Acid Filler Injection for Enophthalmic Sighted Eyes in Parry-Romberg Syndrome.
[PURPOSE] The authors present a consecutive series of deep orbital Sub-Q injections to treat enophthalmic sighted eyes in Parry-Romberg syndrome patients. [METHODS] Retrospective, interventional case series in 2 centers. Data were collecte…
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Paradoxical Frontalis Activation: An Underrecognized Consequence of Facial Palsy.
[BACKGROUND] Aberrant reinnervation and synkinesis are common and debilitating after facial palsy. Paradoxical frontalis activation can antagonize eye closure and increase the risk of corneal damage. If recognized, judicious botulinum toxin…
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The effect of template-based sequential (TBS) coding on an NHS plastic surgical practice.
[INTRODUCTION] Clinical coding is often a mystery to us surgeons, but in actuality, it has a huge bearing on the financial sustainability of our services. Given the rapid innovations in plastic surgical procedures, clinical coders often str…
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Effect of Manuka Honey on Eyelid Wound Healing: A Randomized Controlled Trial.
[PURPOSE] To report outcomes of a randomized trial on the role of "active" Manuka honey on eyelid surgical wound healing. [METHOD] Prospective, randomized, single-blinded study was performed for patients undergoing bilateral upper blepharo…
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The Learning Curve in Endoscopic Dacryocystorhinostomy: Outcomes in Surgery Performed by Trainee Oculoplastic Surgeons.
[PURPOSE] To report outcomes of endoscopic DCR (En-DCR) performed by oculoplastic trainees and describe factors to improve success rates for trainees. [METHODS] Retrospective, single-centre audit of En-DCR procedures performed by three con…
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Use of dermal filler to improve exposure keratopathy in a patient with restrictive dermopathy.
A 26-year-old female with "Progeria-like" phenotype presented with bilateral lagophthalmos and exposure keratopathy. Given the paucity of available skin to harvest, in conjunction with co-morbidities, standard surgery in the form of convent…
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Use of hyaluronic acid filler for tear-trough rejuvenation as an alternative to lower eyelid surgery.
[PURPOSE] To describe one surgeon's experience with the use of hyaluronic acid gel (Perlane) as a tear-trough filler over an 18-month period and to assess patient satisfaction with the procedure. [METHODS] Consecutive, interventional case …
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Use of hyaluronic Acid gel for upper eyelid filling and contouring.
[PURPOSE] To describe the use of hyaluronic acid gel for upper eyelid filling, contouring, and rejuvenation. [METHODS] In this consecutive, retrospective, interventional case series, standard serial puncture injections with preperiosteal p…
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Lower eyelid anatomy: an update.
The gross anatomy of the lower eyelid is analogous to that of the upper eyelid, however, the lower eyelid has a more simplified structure with less dynamic movement. Common malpositions of the lower eyelid include entropion and ectropion, r…
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Upper eyelid anatomy: an update.
Eyelid surgery necessitates a thorough knowledge of eyelid anatomy. Recent contributions to the literature have significantly advanced our understanding of eyelid anatomy. In this review, we present an update of the anatomy and the implicat…
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Patient and surgeon experience with the endotine forehead device for brow and forehead lift.
[PURPOSE] : To report our experience with the Endotine forehead fixation device (Coapt Systems, Palo Alto, CA, U.S.A.), a bioabsorbable fixation method for forehead and brow lift. [METHODS] : Retrospective noncomparative case series of 31 …