The Experts below are selected from a list of 1023 Experts worldwide ranked by ideXlab platform
Robert A. Goldberg - One of the best experts on this subject based on the ideXlab platform.
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comparison of the efficacy of hard palate grafts with acellular human dermis grafts in lower Eyelid surgery
Plastic and Reconstructive Surgery, 2005Co-Authors: Norman Shorr, Robert A. GoldbergAbstract:Background: The Madame Butterfly procedure of lower Eyelid Reconstruction addresses lower Eyelid retraction after blepharoplasty caused by middle lamellar tethering. After scar lysis and subperiosteal midface lift, the surgical procedure uses a lower Eyelid spacer graft to prevent further postoperative contraction of the middle and posterior lamellae. Different graft materials have been used, including autogenous hard palate and AlloDerm. Methods: The preoperative and postoperative photographs of consecutive patients who had undergone the Madame Butterfly procedure were analyzed retrospectively. Thirty-five patients undergoing AlloDerm grafting were compared with 25 patients undergoing hard palate grafting. Their lower Eyelid heights were digitally measured and analyzed statistically for differences between the two groups. Results: No statistically significant difference was found in the amount of Eyelid elevation between the AlloDerm and hard palate groups, although a trend was seen that hard palate grafts resulted in both better elevation (p = 0.121) and a lower failure rate (p = 0.092). Female patients in both groups were found to experience significantly greater Eyelid elevation than male patients (p= 0.018). Conclusions: Both AlloDerm and hard palate were found to be successful grafting materials for lower Eyelid elevation in patients with postblepharoplasty lower Eyelid retraction. Each has advantages and disadvantages, and surgeons should tailor their choices according to each patient.
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comparison of the efficacy of hard palate grafts with acellular human dermis grafts in lower Eyelid surgery
Plastic and Reconstructive Surgery, 2005Co-Authors: Tina G Li, Norman Shorr, Robert A. GoldbergAbstract:Background: The Madame Butterfly procedure of lower Eyelid Reconstruction addresses lower Eyelid retraction after blepharoplasty caused by middle lamellar tethering. After scar lysis and subperiosteal midface lift, the surgical procedure uses a lower Eyelid spacer graft to prevent further postoperative contraction of the middle and posterior lamellae. Different graft materials have been used, including autogenous hard palate and AlloDerm. Methods: The preoperative and postoperative photographs of consecutive patients who had undergone the Madame Butterfly procedure were analyzed retrospectively. Thirty-five patients undergoing AlloDerm grafting were compared with 25 patients undergoing hard palate grafting. Their lower Eyelid heights were digitally measured and analyzed statistically for differences between the two groups. Results: No statistically significant difference was found in the amount of Eyelid elevation between the AlloDerm and hard palate groups, although a trend was seen that hard palate grafts resulted in both better elevation (p = 0.121) and a lower failure rate (p = 0.092). Female patients in both groups were found to experience significantly greater Eyelid elevation than male patients (p= 0.018). Conclusions: Both AlloDerm and hard palate were found to be successful grafting materials for lower Eyelid elevation in patients with postblepharoplasty lower Eyelid retraction. Each has advantages and disadvantages, and surgeons should tailor their choices according to each patient.
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efficacy of thick acellular human dermis alloderm for lower Eyelid Reconstruction comparison with hard palate and thin alloderm grafts
Archives of Facial Plastic Surgery, 2005Co-Authors: Mehryar Taban, Robert A. Goldberg, Raymond S Douglas, Tina Li, Norman ShorrAbstract:Objectives: To evaluate the efficacy of thick acellular human dermis (thick AlloDerm [LifeCell Corporation, The Woodlands, Tex]) grafts for posterior and middle lamellae Reconstruction to correct l...
Norman Shorr - One of the best experts on this subject based on the ideXlab platform.
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comparison of the efficacy of hard palate grafts with acellular human dermis grafts in lower Eyelid surgery
Plastic and Reconstructive Surgery, 2005Co-Authors: Tina G Li, Norman Shorr, Robert A. GoldbergAbstract:Background: The Madame Butterfly procedure of lower Eyelid Reconstruction addresses lower Eyelid retraction after blepharoplasty caused by middle lamellar tethering. After scar lysis and subperiosteal midface lift, the surgical procedure uses a lower Eyelid spacer graft to prevent further postoperative contraction of the middle and posterior lamellae. Different graft materials have been used, including autogenous hard palate and AlloDerm. Methods: The preoperative and postoperative photographs of consecutive patients who had undergone the Madame Butterfly procedure were analyzed retrospectively. Thirty-five patients undergoing AlloDerm grafting were compared with 25 patients undergoing hard palate grafting. Their lower Eyelid heights were digitally measured and analyzed statistically for differences between the two groups. Results: No statistically significant difference was found in the amount of Eyelid elevation between the AlloDerm and hard palate groups, although a trend was seen that hard palate grafts resulted in both better elevation (p = 0.121) and a lower failure rate (p = 0.092). Female patients in both groups were found to experience significantly greater Eyelid elevation than male patients (p= 0.018). Conclusions: Both AlloDerm and hard palate were found to be successful grafting materials for lower Eyelid elevation in patients with postblepharoplasty lower Eyelid retraction. Each has advantages and disadvantages, and surgeons should tailor their choices according to each patient.
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comparison of the efficacy of hard palate grafts with acellular human dermis grafts in lower Eyelid surgery
Plastic and Reconstructive Surgery, 2005Co-Authors: Norman Shorr, Robert A. GoldbergAbstract:Background: The Madame Butterfly procedure of lower Eyelid Reconstruction addresses lower Eyelid retraction after blepharoplasty caused by middle lamellar tethering. After scar lysis and subperiosteal midface lift, the surgical procedure uses a lower Eyelid spacer graft to prevent further postoperative contraction of the middle and posterior lamellae. Different graft materials have been used, including autogenous hard palate and AlloDerm. Methods: The preoperative and postoperative photographs of consecutive patients who had undergone the Madame Butterfly procedure were analyzed retrospectively. Thirty-five patients undergoing AlloDerm grafting were compared with 25 patients undergoing hard palate grafting. Their lower Eyelid heights were digitally measured and analyzed statistically for differences between the two groups. Results: No statistically significant difference was found in the amount of Eyelid elevation between the AlloDerm and hard palate groups, although a trend was seen that hard palate grafts resulted in both better elevation (p = 0.121) and a lower failure rate (p = 0.092). Female patients in both groups were found to experience significantly greater Eyelid elevation than male patients (p= 0.018). Conclusions: Both AlloDerm and hard palate were found to be successful grafting materials for lower Eyelid elevation in patients with postblepharoplasty lower Eyelid retraction. Each has advantages and disadvantages, and surgeons should tailor their choices according to each patient.
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efficacy of thick acellular human dermis alloderm for lower Eyelid Reconstruction comparison with hard palate and thin alloderm grafts
Archives of Facial Plastic Surgery, 2005Co-Authors: Mehryar Taban, Robert A. Goldberg, Raymond S Douglas, Tina Li, Norman ShorrAbstract:Objectives: To evaluate the efficacy of thick acellular human dermis (thick AlloDerm [LifeCell Corporation, The Woodlands, Tex]) grafts for posterior and middle lamellae Reconstruction to correct l...
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Eyelid Reconstruction with hard palate mucosa grafts
Ophthalmic Plastic and Reconstructive Surgery, 1992Co-Authors: Marc S Cohen, Norman ShorrAbstract:Hard palate mucosa grafts are an excellent replacement for tarsus and conjunctiva in Eyelid Reconstruction. Twenty-five Eyelids from 18 patients underwent Eyelid Reconstruction using hard palate mucosa grafts. Patients were treated for a variety of disorders including postblepharoplasty lower Eyelid retraction, cicatricial entropion, Eyelid retraction secondary to thyroid eye disease, and lagophthalmos following surgery for paralytic ptosis. Surgical results were evaluated, grafts were measured for postoperative shrinkage, and donor site healing was recorded. Several patients had hard palate biopsy specimens evaluated. One of these patients also had a graft biopsied after it had been in place for 3 months. A review of hard palate anatomy and histology and a discussion of surgical technique are presented.
Dion Paridaens - One of the best experts on this subject based on the ideXlab platform.
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a single versus double layered closure technique for full thickness lower Eyelid defects a comparative study
Acta Ophthalmologica, 2016Co-Authors: Jennifer S N Verhoekx, Willem A Van Den Bosch, Renoe K Soebhag, Olga Weijtens, Dion ParidaensAbstract:Purpose To compare a simplified, single-layered closure technique with a double-layered closure technique in lower Eyelid Reconstruction following full-thickness pentagonal block excision. Methods We conducted a retrospective, non-randomized, interventional case–control study. Clinical data of consecutive patients treated with primary closure of a full-thickness lower Eyelid defect between 2011 and 2014 were analysed. In group A, the defect was closed in one layer, using non-absorbable polypropylene sutures. In group B, the defect was closed in two layers, using absorbable polyglactin acid sutures. In both techniques, we rarely used a grey line suture to adjust the Eyelid margin. We assessed notching, wound dehiscence and other complications, as reported at 2 months after surgery. Results We included 188 Eyelids from 186 patients. In group A, we included 82 Eyelids and in group B 106 Eyelids. We noted no difference in notching (p = 0.96) whilst wound dehiscence had not occurred in either group. Subcutaneous granuloma formation had been noted in 0 cases in group A, versus 4 in group B (p = 0.08). Mild redness of the scar was seen in 2 cases in group A, versus 5 in group B (p = 0.41). A grey line suture was placed in 6 cases in group A (7.3%), versus 4 cases in group B (3.8%; p = 0.28). Conclusion Both single- and double-layered closure techniques are safe and effective methods for primary closure of full-thickness lower Eyelid defects. In both techniques, a grey line suture was rarely required to adjust the Eyelid margin.
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orbicularis muscle advancement flap combined with free posterior and anterior lamellar grafts a 1 stage sandwich technique for Eyelid Reconstruction
Ophthalmology, 2008Co-Authors: Dion Paridaens, Willem A Van Den BoschAbstract:Purpose To report on a new 1-stage technique for Eyelid Reconstruction. Design Retrospective interventional case series. Participants Thirteen patients with shallow full-thickness lower Eyelid defects (n = 12) or a full-thickness upper Eyelid defect (n = 1) after tumor excision. Defect size ranged from 5 to 10 mm vertically and from 10 to 22 mm horizontally. Methods For Eyelid Reconstruction, the orbicularis muscle adjacent to the defect was mobilized, incised vertically, and advanced. The inner surface was covered with a free tarsoconjunctival graft from the (ipsilateral or contralateral) upper lid, and the outer surface was covered with a free skin graft from the (ipsilateral or contralateral) upper Eyelid. Main Outcome Measures The outcome at 12 months after surgery was assessed using a subjective scoring system with 4 subsequent grades (poor, adequate, good, excellent). Results After 5 days of patching, adequate viability of the grafts was noted in 11 of 13 patients. In 2 patients, partial necrosis of the skin graft developed, probably the result of hematoma. Complications included ectropion or lid retraction (3/13), granuloma (2/13), and notching (1/13). Two patients underwent additional block excision. The long-term outcome at 12 months after surgery was poor in 0 cases, adequate in 2 cases, good in 7 cases, and excellent in 4 cases. Conclusions The sandwich technique for Eyelid Reconstruction comprises the use of an orbicularis oculi muscle advancement flap, which is covered with a free graft on both sides. It allows for 1-stage Reconstruction of relatively shallow lower Eyelid defects with a horizontal size of up to 70% of the total Eyelid width and may be a 1-stage alternative to the modified Hughes flap in selected cases.
Willem A Van Den Bosch - One of the best experts on this subject based on the ideXlab platform.
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a single versus double layered closure technique for full thickness lower Eyelid defects a comparative study
Acta Ophthalmologica, 2016Co-Authors: Jennifer S N Verhoekx, Willem A Van Den Bosch, Renoe K Soebhag, Olga Weijtens, Dion ParidaensAbstract:Purpose To compare a simplified, single-layered closure technique with a double-layered closure technique in lower Eyelid Reconstruction following full-thickness pentagonal block excision. Methods We conducted a retrospective, non-randomized, interventional case–control study. Clinical data of consecutive patients treated with primary closure of a full-thickness lower Eyelid defect between 2011 and 2014 were analysed. In group A, the defect was closed in one layer, using non-absorbable polypropylene sutures. In group B, the defect was closed in two layers, using absorbable polyglactin acid sutures. In both techniques, we rarely used a grey line suture to adjust the Eyelid margin. We assessed notching, wound dehiscence and other complications, as reported at 2 months after surgery. Results We included 188 Eyelids from 186 patients. In group A, we included 82 Eyelids and in group B 106 Eyelids. We noted no difference in notching (p = 0.96) whilst wound dehiscence had not occurred in either group. Subcutaneous granuloma formation had been noted in 0 cases in group A, versus 4 in group B (p = 0.08). Mild redness of the scar was seen in 2 cases in group A, versus 5 in group B (p = 0.41). A grey line suture was placed in 6 cases in group A (7.3%), versus 4 cases in group B (3.8%; p = 0.28). Conclusion Both single- and double-layered closure techniques are safe and effective methods for primary closure of full-thickness lower Eyelid defects. In both techniques, a grey line suture was rarely required to adjust the Eyelid margin.
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orbicularis muscle advancement flap combined with free posterior and anterior lamellar grafts a 1 stage sandwich technique for Eyelid Reconstruction
Ophthalmology, 2008Co-Authors: Dion Paridaens, Willem A Van Den BoschAbstract:Purpose To report on a new 1-stage technique for Eyelid Reconstruction. Design Retrospective interventional case series. Participants Thirteen patients with shallow full-thickness lower Eyelid defects (n = 12) or a full-thickness upper Eyelid defect (n = 1) after tumor excision. Defect size ranged from 5 to 10 mm vertically and from 10 to 22 mm horizontally. Methods For Eyelid Reconstruction, the orbicularis muscle adjacent to the defect was mobilized, incised vertically, and advanced. The inner surface was covered with a free tarsoconjunctival graft from the (ipsilateral or contralateral) upper lid, and the outer surface was covered with a free skin graft from the (ipsilateral or contralateral) upper Eyelid. Main Outcome Measures The outcome at 12 months after surgery was assessed using a subjective scoring system with 4 subsequent grades (poor, adequate, good, excellent). Results After 5 days of patching, adequate viability of the grafts was noted in 11 of 13 patients. In 2 patients, partial necrosis of the skin graft developed, probably the result of hematoma. Complications included ectropion or lid retraction (3/13), granuloma (2/13), and notching (1/13). Two patients underwent additional block excision. The long-term outcome at 12 months after surgery was poor in 0 cases, adequate in 2 cases, good in 7 cases, and excellent in 4 cases. Conclusions The sandwich technique for Eyelid Reconstruction comprises the use of an orbicularis oculi muscle advancement flap, which is covered with a free graft on both sides. It allows for 1-stage Reconstruction of relatively shallow lower Eyelid defects with a horizontal size of up to 70% of the total Eyelid width and may be a 1-stage alternative to the modified Hughes flap in selected cases.
Tina G Li - One of the best experts on this subject based on the ideXlab platform.
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comparison of the efficacy of hard palate grafts with acellular human dermis grafts in lower Eyelid surgery
Plastic and Reconstructive Surgery, 2005Co-Authors: Tina G Li, Norman Shorr, Robert A. GoldbergAbstract:Background: The Madame Butterfly procedure of lower Eyelid Reconstruction addresses lower Eyelid retraction after blepharoplasty caused by middle lamellar tethering. After scar lysis and subperiosteal midface lift, the surgical procedure uses a lower Eyelid spacer graft to prevent further postoperative contraction of the middle and posterior lamellae. Different graft materials have been used, including autogenous hard palate and AlloDerm. Methods: The preoperative and postoperative photographs of consecutive patients who had undergone the Madame Butterfly procedure were analyzed retrospectively. Thirty-five patients undergoing AlloDerm grafting were compared with 25 patients undergoing hard palate grafting. Their lower Eyelid heights were digitally measured and analyzed statistically for differences between the two groups. Results: No statistically significant difference was found in the amount of Eyelid elevation between the AlloDerm and hard palate groups, although a trend was seen that hard palate grafts resulted in both better elevation (p = 0.121) and a lower failure rate (p = 0.092). Female patients in both groups were found to experience significantly greater Eyelid elevation than male patients (p= 0.018). Conclusions: Both AlloDerm and hard palate were found to be successful grafting materials for lower Eyelid elevation in patients with postblepharoplasty lower Eyelid retraction. Each has advantages and disadvantages, and surgeons should tailor their choices according to each patient.
