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Biomedical subjects

C Guberina

Publications and source records attributed to C Guberina.

4 recordsLinked to original sources

Palpebral dacryoadenectomy for epiphora.

The efficacy of palpebral dacryoadenectomy (PDA) to relieve epiphora was studied in 37 patients. Symptomatic relief and postoperative Schirmer testing was used in the evaluation. The technique is described. All patients had patent lacrimal excretory systems: 62% of patients undergoing lacrimal lobectomy had complete relief of epiphora; 19% had some improvement, but incomplete relief; 76% had postoperative decrease in their Schirmer testing; and 14% had postoperative foreign body sensation and some degree of dry eye.

Adult↗

Pitfalls of autogenous lipodermal implantation to the orbit.

Autogenous kinetic lipodermal implantation in the orbit is an effective postenucleation procedure that gives optimal socket volume, motility, and cosmesis. The major complication of autogenous lipodermal implantation is graft atrophy. Other minor complications are infection, hair retention, conjunctival cysts, wound dehiscence, and suture granuloma. We presented a systematic description of the technique emphasizing prevention of complications by proper selection of patients, meticulously performed surgery, and appropriate postoperative management. In particular, attention should be paid to atraumatic dissection of the socket-respecting surgical anatomy, hemostasis, identification and placement of sutures in the extraocular muscles, atraumatic and aseptic manipulation of the graft, and proper anastomosis of the graft to the recipient bed.

Adipose Tissue↗

Autogenous dermis-fat orbital implantation.

We examined 52 consecutive patients who underwent autogenous dermis-fat implantation in anophthalmic sockets during the past five years. The results of the study show that 81% of the cases had no change in the volume of the graft during a mean follow-up period of 2 1/2 years, ranging from a minimum of six months to a maximum of five years. The remaining 19% underwent graft resorption to a varying degree. We consider dermis-fat graft a procedure of choice in cases of extruded or migrated implants, an alternative to a synthetic allograft in primary enucleations, and a useful procedure in selected cases of enophthalmic and contracted socket.

Adipose Tissue↗

Coloboma in progressive hemifacial atrophy.

Over a seven-year period, a 22-year-old woman developed clinical linear scleroderma with associated ipsilateral coloboma of the upper eyelid, blepharoptosis, enophthalmos, and impairment of extraocular motility. Reconstructive surgery included correction of the enophthalmos by Silastic block implant, closure of the coloboma, and resection of the levator palpebrae superioris muscle for correction of the blepharoptosis.

Adult↗