Orbit
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#1Deeksha Nautiyal (MAMC: Maulana Azad Medical College)
#2Garima Yaadav (Government Medical College, Thiruvananthapuram)
This 35-year-old woman presented to ENT OPD at Lok Nayak Hospital, New Delhi, Delhi. She had presented with hearing loss for a long duration. On examination, she had heterochromia iridis (Figure 1)...
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#1Pedro Fernández-Pérez (Hospital Universitario La Paz)
#2Ricardo Romero-Martín (Hospital Universitario La Paz)H-Index: 3
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Purpose: Many surgical approaches have been described for achieving satisfactory functionality in patients with facial paralysis, to ensure the protection of the cornea and the highest degree of physiological blinking. Out of all those available, dynamic techniques are indicated when motion recovery and synchrony are the goals pursued. Orbicularis oculi transposition (OOT) allows a genuine restoration of blinking by means of contralateral reinnervation, with minimal insult for the donor site.Met...
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#1Ryosei Kado (Hokkaido University)
#2Satoru Kase (Hokkaido University)H-Index: 26
Last. Susumu Ishida (Hokkaido University)H-Index: 52
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Pleomorphic adenoma is a benign tumor that originates from the lacrimal gland and typically develops in the upper orbit. There is a risk of postoperative recurrence due to capsule damage by biopsy ...
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A 21-year-old female presented with left upper eyelid drooping since birth. A row of waxy, round, bead-like excrescences on the margin of all four eyelids was seen along with left eye moderate ptos...
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#1Timothy J. McCulley (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 18
#2Abhay Moghekar (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 18
Drs Pirakitikulr and Tse describe their experience managing a patient with progressive enophthalmos following cerebrospinal fluid (CSF) shunting. The case is interesting and nicely illustrates seve...
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#1Elzbieta MechelH-Index: 1
#2Ahmed SheikhH-Index: 1
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Lacrimal gland ductulitis is a rare infection of the lacrimal gland ductules. Individuals affected report a history of chronic mucopurulent conjunctivitis with "stringy" discharge. All patients are clinically noted to have an inflamed lacrimal gland ductule. Prior reports have suggested Actinomyces species as the "probable" etiology.We report the findings of a 42-year-old male found to have lacrimal gland ductulitis with a lacrimal gland abscess, confirmed by radiologic studies. Surgical drainag...
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#1David R. Jordan (U of O: University of Ottawa)H-Index: 30
#2John S.Y. Park (U of O: University of Ottawa)H-Index: 1
Last. Danah Albreiki (U of O: University of Ottawa)H-Index: 3
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Anti-TNF-α agents (e.g. infliximab, adalimumab, etanercept) are effective management options in various inflammatory and autoimmune diseases (e.g. inflammatory bowel disease). The occurrence during anti-TNF-α agent therapy of a new onset or exacerbation of an inflammatory condition that usually responds to this class of drug has been termed a paradoxical adverse event (PAE). A wide range of ophthalmic PAEs have been reported including uveitis, optic neuritis/neuropathy, scleritis, orbital myosit...
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#1Carmelo Macri (University of Adelaide)
#2Valerie Juniat (University of Adelaide)H-Index: 2
Last. Dinesh Selva (University of Adelaide)H-Index: 61
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Adenoid cystic carcinoma (AdCC) is a rare epithelial neoplasm of the head and neck, most commonly found in the salivary glands. Orbital AdCC is an uncommon clinical entity arising from the lacrimal glands, however primary orbital AdCC has been previously described in a small number of case reports. The exact origin of the neoplasm with uninvolved lacrimal gland in the orbit is unknown, however it may arise from ectopic lacrimal or salivary gland tissue, or extension from nearby epithelial struct...
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#1Matthew A. De Niear (Vandy: Vanderbilt University)H-Index: 7
#2James J. Law (VUMC: Vanderbilt University Medical Center)
Last. Louise A. Mawn (VUMC: Vanderbilt University Medical Center)H-Index: 17
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Ablepharon-macrostomia syndrome (AMS) and Barber-Say syndrome (BSS) are congenital ectodermal dysplasias associated with mutations in the TWIST2 gene. Among the ophthalmic anomalies that occur in these syndromes, underdevelopment of the anterior lamella of the eyelid is a defining feature. Reports of mosaic expression of TWIST2 mutations are extremely rare, with only five confirmed or suspected cases described to date. Mosaic expression of TWIST2 variants is correlated with a less severe phenoty...
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#1Nina S. Boal (BU: Boston University)
#2Elizabeth A Z Cretara (OHSU: Oregon Health & Science University)
Last. Daniel R. Lefebvre (Veterans Health Administration)H-Index: 13
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Purpose: Localization of the lacrimal sac is a critical step during endoscopic dacryocystorhinostomy (endo-DCR). A "light pipe" can be used to transilluminate the lacrimal sac endonasally. We hypothesized that this may misguide the surgeon learning endo-DCR to create an osteotomy mostly posterior to the maxillary line if only the bone overlying the transillumination was to be removed, as the thinner lacrimal bone will transmit light more readily than the thicker maxillary bone of the frontal pro...
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