Modified temporalis muscle transfer for paralytic eyelids

WOS: 000084052500004PubMed ID: 10597819The major problems in paralytic eyelids are the inability to close the eye, lower lid sagging, and epiphora. The upper eyelid is responsible for most of the opening and closing of the eye, whereas a lower eyelid positioned properly against the globe is necessary for collection and Row of the tear fluid. Modification of temporalis muscle transfer, a classic technique, was planned to restore these functions selectively in paralytic eyelids. Twelve unilateral and one bilateral irreversible facial paralysis patients with different degrees of lagophthalmos and ectropion were included. Twice as much muscle mass (in thickness) to the upper eyelid than the lower was taken and passed submuscularly 5 to 6 mm away from the limbus for stronger motion of the upper eyelid, and a thinner muscle mass was passed subcutaneously beneath the lower cilia for longevity of the correction of ectropion and epiphora. Fixation of these strips was performed to the medial canthal ligament and 3 to 4 mm above it. The average duration of follow-up was 35.5 months. Excellent eyelid closure and correction of ectropion and epiphora were achieved with one procedure in all patients without creating a cosmetic deformity

A Simple Traction Assembly for Shoulder Arthroscopy in Lateral Decubitus Position: A Cost-Effective Alternative

The lateral decubitus position shoulder arthroscopy requires traction for positioning, as well as distraction. We describe a cost-effective lateral decubitus traction assembly for shoulder arthroscopy. © 2015 Arthroscopy Association of North America

Stock distributions and the Retained Earnings Hypothesis revisited

Large stock distributions may be accounted for as stock splits or stock dividends. The Retained Earnings Hypothesis (REH) suggests that the latter method of accounting signals improving future cash flows, but prior evidence is mixed and the debate is still open. We use a large sample of stock distribution and document economically significant evidence consistent with the REH which helps resolve the open debate.24 month embargo; available online 4 October 2018.This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

Cross-facial nerve grafting as an adjunct to hypoglossal-facial nerve crossover in reanimation of early facial paralysis: Clinical and electrophysiological evaluation

WOS: 000167478200028PubMed ID: 11293524Reanimation of a spontaneous and synchronous smile, and sufficient depressor mechanism of the lower lip presents a surgical challenge in facial paralysis. Hypoglossal-facial nerve crossover and cross-facial nerve grafting are the best options if the mimetic muscles around the mouth are still viable in patients in whom the facial nerve was sacrificed at the brainstem, Although good muscle tone and facial motion have been obtained by hypoglossal-facial nerve crossover, smile is dependent on conscious tongue movement, Cross-facial nerve grafting provides a voluntary and emotion-driven smile, but requires two coaptation sites, which leads to substantial axonal loss and a long regeneration time. This method was not successful in activating the depressor mechanism. The first stage is the classic "baby-sitting" procedure, in which the bulk of the mimetic muscles was maintained by the rapid reinnervation of the hypoglossal-facial nerve crossover during the regeneration period of the cross-facial nerve graft, and temporalis muscle transfer to the eyelids is performed. During the second stage, the cross-facial nerve graft that used the thickest zygomaticobuccal branch on the healthy side was coapted with the corresponding branches on the paralyzed side. The hypoglossal-facial nerve crossover continued to innervate the depressor muscles. Good spontaneous smile and sufficient depressor mechanism were achieved by cross-facial nerve grafting and hypoglossal-facial nerve crossover respectively, and these techniques are demonstrated by the authors clinically and electrophysiologically

Maxillofacial spear gun accident: Report of two cases

WOS: A1997WC65000026PubMed ID: 899447

Van der Woude syndrome in twins

WOS: 000232314500040PubMed ID: 16192887This article discusses monozygotic twin patients with Van der Woude syndrome, the most common form of syndromic cleft lip and palate, who have concordant manifestations. The syndrome has an autosomal dominant hereditary pattern with variable expressivity and a high degree of penetrance with clinical features, including lower lip sinuses with a cleft lip, cleft palate, or both. Some mutations have been found to cause this disorder. Genetic counseling and informing patients about inheritance is crucial. The appearance, etiology, genetic aspects, differential diagnosis, and treatment modalities are discussed. To the authors' knowledge, this is the third report of monozygotic concordant twins with this syndrome in the literature

A modified fixation method in supraorbital bar advancement

1st European Appointed 20th National Congress of the Turkish-Society-of-Plastic-Surgeons -- SEP 03-06, 1998 -- ISTANBUL, TURKEYWOS: 000080170800005PubMed ID: 10530228In almost all congenital craniofacial deformity reconstructions there is a need to advance the supraorbital bar. This bar, which is fixed by several techniques, should be firm enough to minimize a relapse. In this paper a new modification during osteotomy of the supraorbital bar is presented that provides firmness and prevents relapse even without grafts, The last 15 patients with craniofacial anomalies were operated with this modification. At the stage of the supraorbital bar osteotomy, bilateral small triangles are created at the end of the bar. Then, on the lateral orbital rim,two small notches are created in which to place these triangles. By fixating these triangles to the notches, sliding of the bar and subsequent relapse is prevented, and also the fixation provided is much more rigid.Turkish Soc Plast Surgeon