Publications by authors named "Michael J Wearne"
Purpose: To evaluate the commonest routinely used perioperative antibiotic, the preferred route of administration and the choice of antibiotic in 'penicillin allergy' by consultant ophthalmic surgeons in England.
Methods: A postal survey was conducted, between December 2008 and April 2009, among consultant ophthalmic surgeons working in smaller National Health Service Ophthalmic departments in England. Smaller units were defined by having a maximum of eight consultant surgeons and tend to be based in district general hospitals.
Purpose: To report a novel method of repairing a large periorbital defect with exposed bone, using a pedicled temporalis muscle flap and split thickness skin graft.
Methods: Interventional case note review with clinical photographs, computerised tomography (CT) imaging, intra-operative photographs and histology.
Results: A 77-year-old man presented with an extensive neglected ulcerating lesion extending from the left lateral canthus to the tragus of the left ear.
Purpose: To document the step-by-step reconstructive surgical rehabilitation, over a 12-month period, of a patient with severe periocular necrotising fasciitis.
Methods: This is a retrospective interventional case note review of a 68-year-old man who developed necrotising fasciitis a few days after an insect bite. He had severe facial cellulitis with subsequent necrosis of all four eyelids despite broad spectrum antibiotics.