Muscle Resection

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Sei Yeul Oh - One of the best experts on this subject based on the ideXlab platform.

  • surgical outcomes of unilateral recession Resection for vertical strabismus in patients with thyroid eye disease
    Journal of Aapos, 2017
    Co-Authors: K Park, Sei Yeul Oh
    Abstract:

    Purpose To present the surgical outcomes of vertical Muscle Resection in patients with thyroid eye disease (TED). Methods The medical records of 6 patients who underwent unilateral vertical Muscle recession-Resection to correct vertical strabismus in TED were reviewed retrospectively for postoperative angle of vertical deviation on days 1 and 7 and at months 1, 3, 6, and 12. Surgery was considered successful if the vertical deviation was ≤4 Δ . Reoperation rates and complications were also noted. Results The mean preoperative angle of vertical deviation was 39.2 Δ ± 3.8 Δ , and the mean final ocular deviation at 12 months postoperatively was 3.8 Δ ± 5.9 Δ . There was significant reduction in postoperative vertical deviation (paired t test, P Conclusions Based on careful assessment and appropriate patient selection, vertical Muscle Resection can be considered an effective option that provides satisfactory surgical outcomes with regard to vertical deviation correction in TED.

  • accessory lateral rectus Muscle in a patient with congenital third nerve palsy
    American Journal of Ophthalmology, 2003
    Co-Authors: Choul Yong Park, Sei Yeul Oh
    Abstract:

    PURPOSE: To report a case of accessory lateral rectus Muscle in a patient with congenital third-nerve palsy. DESIGN: Observational case report. METHODS: An 18-year-old boy with left exodeviation, ptosis, pupil dilation, and limited adduction, supraduction, and infraduction of his left eye. Left lateral rectus Muscle recession and medial rectus Muscle Resection were done. An orbital computed tomographic (CT) scan was obtained. RESULT: Intraoperatively, an accessory Muscle was found under the lateral rectus Muscle. Postoperatively, the orbital CT scan showed accessory lateral rectus Muscle located in the medial side of the lateral rectus Muscle. CONCLUSION: Accessory lateral rectus Muscle was demonstrated in a patient with congenital third-nerve palsy using lateral rectus Muscle surgery and an orbital CT scan.

Nicholas G Smedira - One of the best experts on this subject based on the ideXlab platform.

  • surgical management of left ventricular outflow tract obstruction in a specialized hypertrophic obstructive cardiomyopathy center
    The Journal of Thoracic and Cardiovascular Surgery, 2019
    Co-Authors: Kevin Hodges, Carlos Godoy Rivas, Jose Aguilera, Robert Borden, Alaa Alashi, Eugene H Blackstone, Milind Y Desai, Nicholas G Smedira
    Abstract:

    Abstract Objectives This study evaluates operative approach and contemporary surgical outcomes in the management of left ventricular outflow tract obstruction by a single surgeon at a high-volume, specialized hypertrophic cardiomyopathy center. Methods This is a retrospective review of 1559 consecutive operations for left ventricular outflow tract obstruction from 2005 to 2015. Demographic profiles, echocardiogram-derived ventricular morphology and hemodynamics, operative data, and in-hospital outcomes were analyzed. Results Of the 1559 operations, 586 were isolated septal myectomies, 522 were myectomies with mitral valve or subvalvular apparatus intervention, 422 were myectomies with another concomitant procedure, and 29 were isolated mitral valve interventions without myectomy. Common mitral valve interventions included anterior leaflet shortening (16%), chordae tendineae Resection (9.8%), papillary Muscle Resection (7.2%), and papillary Muscle reorientation (7.5%). Ninety-two patients underwent mitral valve replacement, 42 for left ventricular outflow tract obstruction and 50 for intrinsic mitral valve pathology. Patients undergoing mitral interventions had thinner septums (18 ± 0.4 mm vs 22 ± 0.5 mm, P  Conclusions Septal myectomy can be performed safely with excellent outcomes when the procedure is performed by a highly experienced surgeon in a high-volume, specialized center. A mitral valve intervention is a useful adjunct in patients with moderate hypertrophy.

Theresa Thomas - One of the best experts on this subject based on the ideXlab platform.

  • corrugator supercilii Muscle Resection and migraine headaches
    Plastic and Reconstructive Surgery, 2000
    Co-Authors: Bahman Guyuron, Bryan J. Michelow, Theresa Thomas, Amin Varghai, Janine Davis
    Abstract:

    This study was conducted to determine whether there is an association between the removal of the corrugator supercilii Muscle and the elimination or significant improvement of migraine headaches. Questionnaires were sent to 314 consecutive patients who had undergone corrugator supercilii Muscle rese

  • Corrugator supercilii Muscle Resection through blepharoplasty incision.
    Plastic and reconstructive surgery, 1995
    Co-Authors: Bahman Guyuron, Bryan J. Michelow, Theresa Thomas
    Abstract:

    Corrugator supercilii Muscle Resection through an upper blepharoplasty incision, with or without concomitant blepharoplasty, is suitable for patients who have significant corrugator hyperactivity and deep frown lines without eyebrow or forehead ptosis. This procedure is also appropriate for patients who decline a forehead rhytidectomy. After infiltration of local anesthesia with intravenous sedation, skin and fat are excised when a concurrent blepharoplasty is planned. The plane between the orbicularis oculi Muscle and the orbital septum is dissected until the corrugator supercilii Muscle is exposed. This Muscle is identified immediately cephalad to the medial half of the superior orbital rim. The Muscle is resected carefully to prevent injury to the supratrochlear nerve medially and the supraorbital nerve laterally. The resultant depression is eliminated with fat removed during the blepharoplasty, or fat or dermis from other sites should the aesthetic plan not include eyelid surgery. Eight patients, seven females and one male, underwent this procedure. The follow-up period ranged from 11 to 19 months, with a mean of 14.5 months. Patients' ages ranged from 25 to 66 years, with a mean of 51.3 years. A scale of 1 to 5, with 5 being excellent, was used to rate postoperative appearance, producing a mean of 4.25. The advantages of fewer skin incisions, less tissue mobilization, and a direct approach to the origin of the problem make this procedure a valuable adjunct to the cosmetic surgery armamentarium.

Bahman Guyuron - One of the best experts on this subject based on the ideXlab platform.

  • corrugator supercilii Muscle Resection and migraine headaches
    Plastic and Reconstructive Surgery, 2000
    Co-Authors: Bahman Guyuron, Bryan J. Michelow, Theresa Thomas, Amin Varghai, Janine Davis
    Abstract:

    This study was conducted to determine whether there is an association between the removal of the corrugator supercilii Muscle and the elimination or significant improvement of migraine headaches. Questionnaires were sent to 314 consecutive patients who had undergone corrugator supercilii Muscle rese

  • Corrugator supercilii Muscle Resection through blepharoplasty incision.
    Plastic and reconstructive surgery, 1995
    Co-Authors: Bahman Guyuron, Bryan J. Michelow, Theresa Thomas
    Abstract:

    Corrugator supercilii Muscle Resection through an upper blepharoplasty incision, with or without concomitant blepharoplasty, is suitable for patients who have significant corrugator hyperactivity and deep frown lines without eyebrow or forehead ptosis. This procedure is also appropriate for patients who decline a forehead rhytidectomy. After infiltration of local anesthesia with intravenous sedation, skin and fat are excised when a concurrent blepharoplasty is planned. The plane between the orbicularis oculi Muscle and the orbital septum is dissected until the corrugator supercilii Muscle is exposed. This Muscle is identified immediately cephalad to the medial half of the superior orbital rim. The Muscle is resected carefully to prevent injury to the supratrochlear nerve medially and the supraorbital nerve laterally. The resultant depression is eliminated with fat removed during the blepharoplasty, or fat or dermis from other sites should the aesthetic plan not include eyelid surgery. Eight patients, seven females and one male, underwent this procedure. The follow-up period ranged from 11 to 19 months, with a mean of 14.5 months. Patients' ages ranged from 25 to 66 years, with a mean of 51.3 years. A scale of 1 to 5, with 5 being excellent, was used to rate postoperative appearance, producing a mean of 4.25. The advantages of fewer skin incisions, less tissue mobilization, and a direct approach to the origin of the problem make this procedure a valuable adjunct to the cosmetic surgery armamentarium.

Kevin Hodges - One of the best experts on this subject based on the ideXlab platform.

  • surgical management of left ventricular outflow tract obstruction in a specialized hypertrophic obstructive cardiomyopathy center
    The Journal of Thoracic and Cardiovascular Surgery, 2019
    Co-Authors: Kevin Hodges, Carlos Godoy Rivas, Jose Aguilera, Robert Borden, Alaa Alashi, Eugene H Blackstone, Milind Y Desai, Nicholas G Smedira
    Abstract:

    Abstract Objectives This study evaluates operative approach and contemporary surgical outcomes in the management of left ventricular outflow tract obstruction by a single surgeon at a high-volume, specialized hypertrophic cardiomyopathy center. Methods This is a retrospective review of 1559 consecutive operations for left ventricular outflow tract obstruction from 2005 to 2015. Demographic profiles, echocardiogram-derived ventricular morphology and hemodynamics, operative data, and in-hospital outcomes were analyzed. Results Of the 1559 operations, 586 were isolated septal myectomies, 522 were myectomies with mitral valve or subvalvular apparatus intervention, 422 were myectomies with another concomitant procedure, and 29 were isolated mitral valve interventions without myectomy. Common mitral valve interventions included anterior leaflet shortening (16%), chordae tendineae Resection (9.8%), papillary Muscle Resection (7.2%), and papillary Muscle reorientation (7.5%). Ninety-two patients underwent mitral valve replacement, 42 for left ventricular outflow tract obstruction and 50 for intrinsic mitral valve pathology. Patients undergoing mitral interventions had thinner septums (18 ± 0.4 mm vs 22 ± 0.5 mm, P  Conclusions Septal myectomy can be performed safely with excellent outcomes when the procedure is performed by a highly experienced surgeon in a high-volume, specialized center. A mitral valve intervention is a useful adjunct in patients with moderate hypertrophy.