RESUMO
BACKGROUND: Müller's muscle-conjunctival resection surgery presumably works by advancing the levator aponeurosis of the upper eyelid. The amount of blepharoptosis and the lid's response to the instillation of phenylephrine hydrochloride onto the superior ocular fornix are used to determine the extent of surgery needed. OBJECTIVES: To demonstrate the procedure developed and popularized by Allen M. Putterman, MD, performed by Michael Mercandetti, MD, MBA, and to describe the relationship between the amount of Müller's muscle-conjunctival resection performed and the amount of elevation achieved. METHODS: Data were retrospectively analyzed based on surgical cases done over a 5-year period by one surgeon (A.M.P.). RESULTS: A linear regression model was developed. From this regression a simple table correlating the amount of resection with the amount of elevation desired was derived. CONCLUSION: The surgeon will need to modify the table based on his or her clinical experience and postoperative results.
Assuntos
Blefaroplastia/métodos , Blefaroptose/cirurgia , Túnica Conjuntiva/cirurgia , Pálpebras/cirurgia , Músculo Liso/cirurgia , Músculos Oculomotores/cirurgia , Fenilefrina , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Blefaroplastia/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Contração Muscular/efeitos dos fármacos , Músculo Liso/efeitos dos fármacos , Músculo Liso/inervação , Estudos RetrospectivosAssuntos
Endoscopia/métodos , Processamento de Imagem Assistida por Computador/instrumentação , Seios Paranasais/cirurgia , Sinusite/diagnóstico , Sinusite/cirurgia , Endoscópios , Humanos , Processamento de Imagem Assistida por Computador/métodos , Seios Paranasais/patologia , Sensibilidade e EspecificidadeRESUMO
Allergic fungal sinusitis is a chronic disorder that is being more frequently recognized by otolaryngologists. It is a recurrent illness characterized by frequent exacerbations, and requires aggressive medical and surgical treatment. When surgical therapy is employed, it is necessary to ensure adequate debridement and removal of edematous tissue. We have been using powered dissection as our primary method in sinus surgery over the past three year. We have treated 11 patients with allergic fungal sinusitis, and find powered instrumentation to be very effective in removing the polypoid tissue from the nose and sinuses, and in providing a clear surgical field. The procedure can be performed safely with minimal trauma to normal tissue. We believe that the use of powered dissection greatly enhances the comprehensive treatment of allergic fungal sinusitis.
Assuntos
Micoses/cirurgia , Sinusite/cirurgia , Idoso , Idoso de 80 Anos ou mais , Humanos , Masculino , Métodos , Estudos Retrospectivos , Instrumentos CirúrgicosAssuntos
Transplante Ósseo , Mandíbula/irrigação sanguínea , Doenças Mandibulares/etiologia , Osteorradionecrose , Tolerância a Radiação , Sobrevivência de Enxerto , Humanos , Masculino , Mandíbula/cirurgia , Pessoa de Meia-Idade , Neoplasias Bucais/radioterapia , Neoplasias Bucais/cirurgia , Neovascularização Patológica , Osteorradionecrose/etiologia , Osteorradionecrose/patologia , Radioterapia/efeitos adversosRESUMO
Inflammatory pseudotumor of the upper airway is an uncommon lesion of unknown etiology, clinically mimicking a neoplastic process. We document a case of inflammatory pseudotumor of the parapharyngeal space, occurring in a patient with history of cocaine abuse. Corticosteroid treatment was successful in reducing the symptoms. The difficulties in establishing this clinicopathologic diagnosis are discussed and the pertinent literature is reviewed.