Spiral computerized tomography and video thoracoscopy in catamenial pneumothorax.

Catamenial pneumothorax is a rare disease that is usually diagnosed on clinical grounds. Delay in diagnosis can lead to considerable morbidity. We describe a case in which spiral CT scan and videothoracoscopy led to early objective diagnosis and management.

Cyanoacrylate tissue adhesive in blepharoplasty.

This article reports the results of an animal study designed to evaluate the usefulness of butyl 2-cyanoacrylate (Histoacryl) in blepharoplasty skin closure. Bilateral upper and lower lid blepharoplasty skin incisions were made on seven pigs. We compared the wounds closed with 6.

A modification of the lateral tarsal strip procedure with resection of orbicularis muscle for entropion repair.

The lateral tarsal strip procedure addresses lateral canthal laxity, but is inadequate in some patients with entropion who have overriding of the orbicularis muscle. We describe our technique, which incorporates resection of the hypertrophied orbicularis. We have used this modification of the lateral tarsal strip procedure in 21 eyelids (15 patients) with excellent results.

Modified levator aponeurosis recession for upper eyelid retraction in Graves' disease.

Recession of the levator aponeurosis has proved to be an excellent operation to correct upper eyelid retraction in Graves' disease. Harvey and Anderson's original description included recession of the levator aponeurosis along its entire width and complete extirpation of Müller's muscle. In a modification of the technique, we recess only the lateral two thirds of the levator/Müller's complex.

Long-term placement of silastic nasolacrimal tubes.

We retrospectively reviewed the complication rate associated with silastic tube intubation in the treatment of congenital and acquired obstructions of the lacrimal system in 82 patients with a follow-up of 3 to 66 months. Complications included tube prolapse, extrusion or breakage, punctal erosion, conjunctival irritation, intranasal discomfort, and tube inspissation with mucoid debris ("dirty tubes"). The rate was highest in the first 3 months (41%); it decreased to less than 10% after 6 months.