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Biomedical subjects

H J Glatt

Publications and source records attributed to H J Glatt.

At least 19 recordsLinked to original sources
PubMed1999

Follow-up methods and the apparent success of entropion surgery.

PURPOSE: To determine if follow-up methods affect the apparent success rate of the surgical repair of involutional entropion. METHODS: A review of articles published in English between 1939 and 1997, and a review of a series of 112 patients who underwent entropion repair with a combination of a tarsal strip procedure, a partial pretarsal orbiculectomy, and creation of an eyelid crease. RESULTS: Only ten of 104 published reports contained information on the method by which follow-up data were attained. The apparent success rate of surgery in the case series declined in proportion to the effort made to detect unsuccessful cases. Long-term follow-up office examinations revealed cases of residual postoperative entropion that had not been detected by spontaneous patient complaints or by telephone interviews. CONCLUSION: Future reports on the results of entropion repair should include long-term follow-up that includes physical examination with testing to provoke latent entropion.

Blepharoplasty↗
PubMed1997

Tarsoconjunctival flap supplementation: an approach to the reconstruction of large lower eyelid defects.

In the presence of a full-thickness lower eyelid defect too large for reconstruction with a tarsoconjunctival flap alone, the posterior lamella is often reconstructed with a free graft of nasal septal cartilage and mucosa, ear cartilage, or hard palate mucosa. In this series, an alternative approach was taken: a tarsoconjunctival flap of maximum horizontal dimension was created to reconstruct the majority of the posterior lamella defect. A second reconstruction technique, such as a periosteal flap or a Tenzel semicircular flap, was then used to supplement the tarsoconjunctival flap and reconstruct the remainder of the posterior lamella defect. Tarsoconjunctival flap supplementation yielded favorable results in eight patients and is advocated for the reconstruction of large posterior lamella defects too large for reconstruction with a tarsoconjunctival flap alone.

Aged↗
PubMed1996

Evaluation of lacrimal obstruction secondary to facial fractures using computed tomography or computed tomographic dacryocystography.

Facial fractures that result in lacrimal drainage obstruction may add complexities to lacrimal surgery. The role of preoperative assessment of lacrimal obstruction after facial fractures using computed tomography (CT) or CT dacryocystography was assessed in this study. Consecutive patients (n = 13) with symptomatic lacrimal obstruction after facial fractures underwent radiologic evaluation prior to lacrimal surgery. The first three patients underwent CT alone. The subsequent 10 patients underwent CT dacryocystography, in which radio-opaque dye was instilled into the lacrimal sac prior to CT. Radiographic findings pertinent to surgical management were present in 11 of the 13 patients and included alterations in bony anatomy, plates or wires adjacent to the lacrimal sac, nasal septal deviation, sinusitis, anterior ethmoid air cells, and anteriorly located middle turbinates. CT or CT dacryocystography prior to lacrimal surgery in patients with previous facial fractures may facilitate preoperative planning and intraoperative execution. It is recommended that the cost of these studies be minimized by adherence to streamlined protocols widely used in sinus CT.

Adolescent↗
PubMed1993

Anophthalmic socket pain.

We examined and treated four patients with anophthalmic socket pain. Conditions responsible for this problem in this series included scleritis after evisceration, amputation neuroma, pain from a skull-base meningioma, and chemical dependency with drug-seeking behavior. The pain associated with the scleritis after evisceration responded to removal of the scleral remnant. The pain associated with the amputation neuroma responded to removal of the orbital implant and its pseudocapsule in which the amputation neuroma was embedded. The pain associated with the meningioma was intractable. The pain associated with the chemical dependency remained a persistent problem. A careful history and physical examination are critical in the evaluation of anophthalmic socket pain. Computed tomography or magnetic resonance imaging may be helpful in some cases.

Adult↗
PubMed1992

Conventional frozen sections in periocular basal-cell carcinoma: a review of 236 cases.

Two hundred thirty-six periocular basal-cell carcinomas were resected under conventional frozen-section control. Only two tumors recurred, yielding a success rate of 99.2%. The mean follow up was 56 months. Eighty-one of the 236 patients were followed for at least 5 years; the 5-year cure rate was 97.5%. To our knowledge, this is the largest reported series of periocular basal-cell carcinoma resected under conventional frozen-section control; also, we believe the follow-up data are superior to those of previous series. The high success rates with conventional frozen-section techniques in this and other series are comparable to those reported for the Mohs micrographic techniques.

Adult↗
PubMed1991

Evaluation of dacryocystorhinostomy failure with computed tomography and computed tomographic dacryocystography.

Five patients with dacryocystorhinostomy failures were examined with computed tomography or computed tomographic dacryocystography. In computed tomographic dacryocystography, radiopaque dye was instilled into the lacrimal sac before computed tomography to show its shape, location, and relation to surrounding structures. Problems with the bony ostium were detected in all five patients. Recurrent nasal polyposis, a retained metallic clip, and an unresected ethmoid air cell were also identified. Computed tomography and computed tomographic dacryocystography provided important information that facilitated reoperation after dacryocystorhinostomy failure.

Adolescent↗