Oculoplastics News

ALBANY, N.Y. — Patients with epiphora secondary to canalicular stenosis can be effectively treated with the intranasal endoscopic technique for conjunctivodacryocystorhinostomy (CDCR) with Jones tube placement, according to a study that compared the newer technique to the traditional external approach with a medial canthal incision.

Basal cell carcinoma is a malignant tumor derived from cells of the basal cell layer of the epidermis. The etiology of basal cell carcinoma is linked to excessive ultraviolet light exposure in fair-skinned individuals. Other predisposing factors include ionizing radiation and scars. While metastases are rare, local invasion is common and can be very destructive.

The following case describes the unusual presentation of an intracranial epidermoid cyst, presenting as unilateral proptosis. To the best of our knowledge, this has not been previously described in the medical literature.

---Sixteen-year-old boy sustained left orbital trauma, showing marked restriction of supraduction left eye.

After experiencing recurrence in nearly all cases with limited myectomies, I became more and more aggressive with muscle removal and developed a technique that I termed the full myectomy, where nearly all of the squeezing muscles of the upper eyelids were removed (Figures 2, 3). This included the pretarsal orbicularis, the preseptal orbicularis, the orbital orbicularis, and the corrugator supercilia and procerus muscles between the brows. These muscles were removed through a brow incision and an eyelid crease incision. This operation first was published in 1981.

---Jaffe Laser Blepharoplasty and Facial Resurfacing Surgery Set minimizes the amount of laser energy that could be deflected from the surface of other equipment during surgery.

Botulinum toxin (Botox; Allergan) has revolutionized the treatment of patients who have blepharospasm, hemifacial spasm and Meige’s syndrome. Prior to its use, the majority of patients with these problems who sought treatment underwent extensive surgical procedures, including partial 7th nerve resection and extensive dissection of the orbicularis and related facial muscles.