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Biomedical subjects

A J Berlin

Publications and source records attributed to A J Berlin.

At least 19 recordsLinked to original sources
PubMed1993

Spontaneous direct carotid-cavernous fistula in childhood.

We report the occurrence, surgical treatment and long-term follow-up of a spontaneous, direct carotid-cavernous fistula in a child. It is the third angiographically documented, spontaneously occurring fistula to be reported in this age group and the first to arise directly from the internal carotid artery based on our review of the literature. Although our patient required fistula closure, other reported fistulae were nonprogressive and did not require treatment. The communication between the internal carotid artery and the cavernous sinus was left sided while the contralateral eye was proptotic. The clinical features, selected hemodynamic characteristics, and treatment of carotid-cavernous fistulas are reviewed.

Arteriovenous Fistula↗
PubMed1990

Nodular fasciitis presenting as an eyelid mass.

A case of nodular fasciitis occurring in the eyelid is presented. The clinical and pathologic features of this rare cause of an eyelid mass are discussed. Nodular fasciitis should be considered in the pathologic differential diagnosis of connective tissue tumors of the periorbital region. It is important not to confuse nodular fasciitis with fibrosarcoma, as simple excision is curative for this condition.

Child↗
PubMed1990

Carbon dioxide laser treatment of pitted acne scarring.

Laserabrasion has been shown to have limited application in the treatment of acne scarring. Focal laserabrasion used to treat individual pitted acne scars may have broader clinical application. We present 8 patients with pitted acne scars who were treated with either conventional continuous wave carbon dioxide (CO2) laser, or with the superpulsed CO2 laser, or both. Cosmetically acceptable results were attained, particularly in the patients treated with the superpulsed laser.

Acne Vulgaris↗
PubMed1989

Levator aponeurosis surgery. A retrospective review.

A review of all cases of aponeurotic repair done since 1980 by the author identified 140 patients and 174 eyelids. An acceptable result at 6 weeks was defined as a lid level within 1 mm of the desired level achieved in 74% of lids with acquired ptosis. The amount of ptosis present preoperatively was the major factor in our study; levator function and type of anesthesia did not affect the success rate. The most significant finding was a lower long-term success rate due to a drop in lid level clustered at the 2- to 4-month period postoperatively. The authors speculate on the cause for this finding.

Adult↗
PubMed1989

Dacryocystorhinostomy failure: association with nasolacrimal silicone intubation.

A retrospective review of 242 consecutive dacryocystorhinostomies (DCRs) revealed no association between failure and either age, gender, or etiology of the nasolacrimal obstruction. However, silicone intubation of the nasolacrimal system was associated with a statistically significant increase in the failure rate of primary DCR. We postulate that silicone tubing by inciting granuloma formation in the nose and lacrimal fossa, predisposes to DCR failure. Routine use of silicone tubing in DCR should be avoided unless there is canalicular scarring, a large valve of Rosenmueller occluding the common canaliculus, or a small contracted or scarred lacrimal sac.

Adolescent↗
PubMed1988

Intranasal endoscopic analysis of dacrocystorhinostomy failure.

Intranasal abnormalities are the most common cause of dacryocystorhinostomy failure. The nasal endoscope facilitates recognition of these abnormalities and provides photo documentation to guide the surgeon to the appropriate postoperative management.

Dacryocystorhinostomy↗
PubMed1986

Benign osteoblastoma of the orbit.

Benign osteoblastoma is a rare, solitary, vascular, osteoid-producing tumor that is rich in osteoblasts. This is the first report of a case of osteoblastoma of the orbit not contiguous with a sinus cavity.

Child, Preschool↗
PubMed1986

Ocular findings in juvenile nasopharyngeal angiofibroma.

Juvenile nasopharyngeal angiofibroma (JNA) is the most common benign neoplasm of the nasopharynx. While histologically benign, it has the propensity for aggressive local growth. This highly vascular tumor predominantly occurs in adolescent males. The literature fails to provide a thorough description of ocular complications and their incidence in JNA. This report summarizes the data from those clinical series detailing ocular findings in a total of 218 JNA cases. Exophthalmos was found in 14% of all cases. Decreased visual acuity and partial ophthalmoplegia occurred in 5% and 2% respectively. Recognition of ocular involvement in JNA is of the utmost importance, for it is often a manifestation of orbital or intracranial extension or both. We describe the diagnosis and management of a case of JNA in a five-year-old white male. The patient developed ocular findings of marked exophthalmos and optic atrophy. Early multidisciplinary diagnostic evaluation (otolaryngological, neurosurgical, and ophthalmological) followed by a team surgical approach to excision is most likely to yield efficacious results.

Child, Preschool↗
PubMed1985

Unusual melanocytic nevi of the conjunctiva.

In one patient, an epithelioid cell nevus of the conjunctiva contained numerous large, unpigmented, mononucleated, binucleated, and multinucleated benign-appearing nevus cells with abundant cytoplasm and frequent intranuclear vacuoles. Despite their overall size, the cells manifested a low nuclear-cytoplasmic ratio. After a partial excision of the lesion, the remainder spontaneously regressed during a two-year period. Another patient's lesion was dominated by a proliferation of spindle nevus cells developing in a long-standing epibulbar nevus. The spindle cells were moderately pigmented, frequently located within walls of epithelial inclusion cysts, and had benign cytologic features. Finally, in a third patient with the cutaneous B-K mole syndrome, a dysplastic conjunctival nevus developed that featured intraepithelial, atypical melanocytic proliferation with superficial colonization of the substantia propria. This portion coexisted with a deeper, preexistent lesion in the substantia propria that was comprised of orderly nests of unpigmented cuboidal nevus cells surrounded by pigmented, spindle-shaped blue nevus cells--a so-called "mixed nevus."

Adolescent↗
PubMed1984

Fasciocutaneous flap, secondary axial pattern flap, and microvascular free flap in socket reconstruction.

Three techniques are described to rebuild a missing or recurrently contracted socket, the selection of which is based on the anatomy of the periorbital tissue and vascular supply. When the superficial temporal vessels are present, the ipsilateral fasciocutaneous postauricular flap is used. When the vessels are present but the postauricular flap has been used, a secondary axial pattern flap is used. When the superficial temporal vessels are absent or not suitable, the dorsalis pedis vascularized free flap is used.

Fascia↗
PubMed1984

Intracranial extension of inflammatory pseudotumor of the orbit. Case report.

Orbital pseudotumors are inflammatory lesions of the orbit of unknown etiology, which initially mimic an orbital neoplasm. Involvement of the other orbit is uncommon, and extension into the paranasal sinus rare. Intracranial extension of pseudotumor of the orbit is previously unreported. This is a case report of a patient with pseudotumor of the orbit with intracranial extension. The literature of the subject is reviewed.

Aged↗
PubMed1983

Congenital orbital teratoma.

Congenital orbital teratoma is a rare tumor that usually presents with unilateral proptosis in a normal full term infant. These tumors are usually confined to the orbit without extension into the intracranial cavity. A few cases with intracranial extension have been reported. We have developed a combined ophthalmological, otolaryngological and neurosurgical approach to deal with this rare tumor when it extends intracranially.

Child↗
PubMed1982

The use of digital subtraction angiography in the evaluation of carotid cavernous sinus fistulas.

Intravenous digital subtraction angiography (IV-DSA) is a safe, rapid procedure that can be performed on an outpatient basis and provide diagnostic information comparable to conventional angiography. This paper reviews the initial experience with intravenous digital subtraction angiography in the evaluation of five cases of carotid cavernous sinus fistula, digital subtraction angiography.

Angiography↗