We report a patient with partial oculomotor paresis due to midbrain infarction. A 69-year-old man noticed diplopia suddenly. Ptosis, and impaired adduction and supraduction were found in the right eye. The pupillary size and light reflexes were normal on both sides. Magnetic resonance imaging disclosed an acute lesion in the right inferolateral oculomotor fascicle. These clinicoradiological fin...

OBJECTIVE To ask experts in the field to evaluate a surgeon's experience with a retroseptal transconjunctival approach for the repair of the orbital floor damaged by blowout fracture that the surgeon encountered in 12 East-Asian patients. METHODS Patients were identified from a database, and a retrospective case note review was conducted. A total of 12 conjunctival procedures were conducted f...

IMPORTANCE Bilateral medial rectus muscle recession and one lateral rectus muscle resection surgery for the correction of large-angle infantile esotropia may be associated with a favorable long-term motor outcome. A consecutive exotropic drift was encountered more commonly than a recurrent esotropic drift in the long run, especially in the smaller (50-69 prism diopters [Δ]) range of preoperativ...

Breast cancer is one of the most common diseases treated by general and plastic surgeons. Reconstruction of the breast began in the 1960s with the invention of the silicone breast implant. Since then, breast reconstruction has undergone an evolution. It is possible to add a woman’s own tissue to enhance an implant reconstruction, as in the latissimus dorsi myocutaneous flap, but often autologou...

background current teaching suggests increased perfusion in free transverse rectus abdominis myocutaneous (tram) flaps over pedicled tram flaps, broadening indications for its use in high risk patients. this study compared perfusion analysis of free muscle-sparing versus pedicle tram flaps in vivo in the peri-operative and late post-operative periods. methods the spy-elite system using indocyan...

PURPOSE The purpose of this study is to compare the magnitude and axis of astigmatism induced by a combined inferior oblique (IO) anterior transposition procedure with lateral rectus (LR) recession versus LR recession alone. METHODS Forty-six patients were retrospectively analyzed. The subjects were divided into two groups: those having concurrent inferior oblique muscle overaction (IOOA) and...

PURPOSE To evaluate the effects of bilateral inferior oblique transposition (BIOT) on horizontal deviation from primary position among patients with bilateral dissociated vertical deviation (DVD) associated with inferior oblique overaction (IOOA) in infantile strabismus. METHODS Retrospective chart review was conducted among 19 patients with infantile strabismus. All patients had DVD and IOOA...

University of Manitoba, Winnipeg, Manitoba Correspondence: Dr Edward W Buchel, University of Manitoba, GC 404, 820 Sherbrook Street, Winnipeg, Manitoba R3A 1R9. E-mail [email protected] The majority of autologous free flap breast reconstruction uses tissue from the lower anterior abdominal wall. Traditionally, this involved harvesting the entire ipsilateral or bilateral rectus abdominus muscles...

A unilateral muscle, the location and dimensions of which do not exactly conform to existing descriptions, was found during dissection of the suboccipital region. The muscle in question extended from the spine and transverse process of the 6th cervical vertebra to the base of the skull. At its rostral attachment it blended with the insertion of the left rectus capitis posterior minor muscle on ...

113 To the Editor: Ophthalmoplegia can cause diplopia, with a lot of etiologies including cerebrovascular disease. Nuclear ophthalmoplegia resulted from brainstem infarction is often accompanied by other symptoms of brainstem dysfunction. It is fairly rare that midbrain infarction only manifests as isolated medial rectus nuclear palsy. Here, we provided such an uncommon case and discussed the p...