The Experts below are selected from a list of 27 Experts worldwide ranked by ideXlab platform
Robert A. Goldberg - One of the best experts on this subject based on the ideXlab platform.
-
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.
-
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.
Norman Shorr - One of the best experts on this subject based on the ideXlab platform.
-
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.
-
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.
Tina G Li - One of the best experts on this subject based on the ideXlab platform.
-
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.
Dickinson A J - One of the best experts on this subject based on the ideXlab platform.
-
The use of porous polyethylene (Medpor) Lower Eyelid Spacers in lid heightening and stabilisation
Copyright 2004 British Journal of Ophthalmology, 2004Co-Authors: Tan J, Olver J, Wright M, Maini R, Neoh C, Dickinson A JAbstract:Background/aims: The management of Lower Eyelid retraction can be challenging, and established techniques to correct it are not always successful. Previous reports have suggested a role for the ultrathin high density porous polyethylene Lower Eyelid Spacer (Medpor LES) in such patients. The authors report the experience of three surgeons implanting Medpor LES over 1 year, and ascertain whether such implants are a safe and effective alternative to autogenous Spacers. Methods: A prospective, interventional, non-comparative case series of consecutive patients. Surgical indications for Medpor LES were noted. Preoperative and postoperative Lower marginal reflex distance (L-MRD), vertical palpebral aperture (PA), lagophthalmos, and scleral show inferior to the limbus (LSS) were recorded, together with major and minor complications. Results: 32 patients (35 Eyelids) had a Medpor LES inserted, 22/32 under local anaesthetic, and nine with adjunctive procedures. Mean follow up was 22 months (range 15–28 months). The Medpor LES was effective in reducing the palpebral aperture (p
A J Dickinson - One of the best experts on this subject based on the ideXlab platform.
-
the use of porous polyethylene medpor Lower Eyelid Spacers in lid heightening and stabilisation
British Journal of Ophthalmology, 2004Co-Authors: J Tan, J Olver, M Wright, R Maini, C Neoh, A J DickinsonAbstract:Background/aims: The management of Lower Eyelid retraction can be challenging, and established techniques to correct it are not always successful. Previous reports have suggested a role for the ultrathin high density porous polyethylene Lower Eyelid Spacer (Medpor LES) in such patients. The authors report the experience of three surgeons implanting Medpor LES over 1 year, and ascertain whether such implants are a safe and effective alternative to autogenous Spacers. Methods: A prospective, interventional, non-comparative case series of consecutive patients. Surgical indications for Medpor LES were noted. Preoperative and postoperative Lower marginal reflex distance (L-MRD), vertical palpebral aperture (PA), lagophthalmos, and scleral show inferior to the limbus (LSS) were recorded, together with major and minor complications. Results: 32 patients (35 Eyelids) had a Medpor LES inserted, 22/32 under local anaesthetic, and nine with adjunctive procedures. Mean follow up was 22 months (range 15–28 months). The Medpor LES was effective in reducing the palpebral aperture (p<0.001) and lagophthalmos (p = 0.04) and raising the Lower Eyelid height by reducing both L-MRD (p = 0.006) and LSS (p<0.001). However there were major complications in 7/32 patients and minor complications in 8/32, most requiring further surgery. Final outcome was good in 24/35 Eyelids and satisfactory in 5/35. Conclusions: Despite a good or satisfactory final outcome in the majority of patients, the value of this technique is limited by complications, and should be reserved for those unsuitable for safer techniques.
