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Biomedical subjects

E O Wiggs

Publications and source records attributed to E O Wiggs.

7 recordsLinked to original sources

Periocular flaps.

BACKGROUND: Most flaps used in periocular reconstruction are random pattern flaps. OBJECTIVE: To discuss the principles of periocular flaps as they relate to oculoplastic surgery, with an emphasis on reconstruction of the eyelids and ocular adnexa. METHODS: The advantages, disadvantages, and techniques of reconstruction are reviewed. CONCLUSION: The ability to conceptualize and utilize flaps in periocular surgery enormously extends the surgeon's capabilities to produce optimal results for the patient.

Eyelids

Extrusion of enucleation implants: treatment with secondary implants and autogenous temporalis fascia or fascia lata patch grafts.

We performed one autogenous fascia lata graft and 11 autogenous temporalis fascia grafts in eight patients with extrusion of an orbital enucleation implant and in four patients with a bulging implant who could not wear a prosthesis. Excluding one patient with inadequate follow up, 10 of the 11 patients (91%) successfully retained their implant. One patient had severe conjunctivitis followed by anterior migration of his implant 2 1/2 years after patch grafting, necessitating replacement of the implant. We conclude that autogenous temporalis fascia patch grafting is an effective treatment for orbital enucleation implant extrusion or a bulging implant.

Adolescent

The Fasanella-Servat operation.

Indications, complications, surgical anatomy and the author's method of performing the FSO have been described. The procedure is an excellent and predictable operation if the criteria which have been advocated by many authors are carefully followed.

Blepharoptosis

Morhea-form basal cell carcinomas of the canthi.

Basal cell carcinoma is not a single entity, but a lesion of protean morphology. In treating basal cell carcinomas, treatment should be correlated with the histopathology of the tumor. Attention has been called to the aggressive infiltrating properties of morphea-form lesions. Morphea-form basal cell carcinomas should not be treated with radiotherapy. Surgery with frozen section control is advocated as the treatment of choice and the value of permanent sections has been stressed. Large defects should be covered with a skin graft.

Adult