Plast Reconstr Surg Glob Open
March 2022
Acquired eyelid ptosis in adults, with complete loss of levator palpebrae superiosis function, can be a challenging problem to diagnose and treat. A 48-year-old woman with chronic bilateral severe blepharoptosis of 10 years duration is presented, whose neurological investigations excluded myasthenia gravis. The patient was preliminarily diagnosed with chronic progressive external ophthalmoplegia.
View Article and Find Full Text PDFIn children with cleft lip and palate (CLP), we aimed to compare a single-stage surgery group or all in one (AIO) approach with a 2-stage surgery group (2-SSG) of 18 and 12 toddlers, respectively. A retrospective review of 30 patients with CLP was conducted between 2007 and 2019. All in one procedure was performed at 12 to 24 months and 2-SSG patients had lip and primary nasal correction at 3 to 9 months, followed by palatoplasty and myringotomies at 12 to 16 months.
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
September 2021
Background: Nasal deformity associated with cleft lip deformity is a challenging issue, encompassing controversies, theories, and a diversity of techniques. Historically, esthetic outcomes have ranged from being below expectations to barely acceptable.
Method: Based on the concept that the nasal cartilaginous framework in clefts is similar to that of a collapsing pyramid, a novel suspension technique has been described.
Plast Reconstr Surg Glob Open
October 2020
Cases of neurofibromatosis type 1 may present with varying degrees of craniofacial deformities. Involvement of the ear and surrounding soft tissues may include hypertrophy, distortion, and sagging. We present the case of a 40-year-old woman with a severe plexiform neurofibroma affecting her left face and ear.
View Article and Find Full Text PDFWhether it is a unilateral or bilateral cleft lip, the nose tends to act as a collapsing pyramid with a tilt in case of the former. This gives the nose a tethered and flattened look with varying degrees of asymmetries. No matter how aggressive soft tissue manipulations are made to the tip and columella, we believe unless the nose is lifted and secured to a stable structure, the correction is inadequate.
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