[About the adjustable sutures in ophthalmic plastic surgery].
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Biomedical subjects
Publications and source records attributed to C Grande Baos.
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UNLABELLED: PURPOSE/MATERIAL AND METHOD: Current adjustable suture techniques are analysed and new variants are described. RESULTS/CONCLUSION: Adjustable sutures applied to tarsal fixation of the elevator muscle and shortening-enlargement of the frontal suspension strip are presented. In the both techniques, after three to four days, the adjustment and the final fixation are performed.
PURPOSE/METHODS: The results of our experience with EMLA cream used as a topical anaesthetic is analysed in a series of forty patients having bilateral and simultaneous oculoplastic procedures, such as the injection of different substances (botulinum toxin, triamcinolone), the removal of superficial skin lesions, or previous to subcutaneous infiltration of local anaesthetics. Patient's reaction to pain and its degree were assessed by the use of topical placebo on the other than EMLA site and compare both subjective and < > scales. RESULTS/CONCLUSIONS: Patient's discomfort and pain were found to be milder with a statistically significant difference (p<0.0001) compared to placebo when EMLA cream was previously used over the surgical site. Therefore, in our experience, the use of EMLA cream as percutaneous anaesthetic is effective in diminishing pain associated with minor oculoplastic procedures.
PURPOSE: Inversing and eversing sutures may be a treatment for inferior eyelid entropion and ectropion, as single treatment or combined with other surgical technique. We propose the use of adjustable sutures for these patients. MATERIAL AND METHODS: 85 cases were considered. 41 of them were treated with adjustable sutures and the other 44 underwent classical sutures as treatment. RESULTS: The 100% of the eyelids treated with adjustable sutures had a successful eyelid surgery. This was observed at the end of the procedure, the fourth day after surgery, and after the sixth month. CONCLUSIONS: These adjustable sutures provide more patient comfort and a more accurate result than the classical technique at least after six months of follow up.
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The last two cases of Ellis van Creveld syndrome diagnosed in the Neonatology Service of our department are presented and the clinical and radiological features described. One of the children, the boy, was suffering from ocular malformations which are not common in this syndrome. Both have heart malformations which are frequent in this syndrome. Paradoxically the boy, who was quite below the third percentile in height, has less alterations in the long bones than did the baby girl, who was within the normal height range. Attention is called to the lack of adipose panniculus in the boy, but the girl's weight is within the normal limits. Both died because of the heart anomalities with accompanying respiratory distress.
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