Background: The majority of septal perforations are caused by trauma either with or without infection. In most cases trauma is related to the surgery. Methods: Twenty patients with nasal perforation who underwent surgery from 2008 to 2011were retrospectively evaluated. Three different surgical approaches were used: bilateral rotational advancement flap of nose floor with fascia through open rhi...

This paper will discuss the different approaches to the surgical management of pterygium, emphasizing the conjunctival autograft technique and the use of antimetabolites. HISTORICAL PERSPECTIVE Clinically, a pterygium is a wing-shaped fibrovascular growth arising from the bulbar conjunctiva onto the superficial cornea.1 It is composed of a body, which overlies the sclera, and a head, which conf...

BACKGROUND Using a sinus tarsi rotational flap is an uncommon approach to treating chronic open infective lateral malleolus bursitis. METHODS We treated eight patients, including six males, using this approach. First, we debrided all the infected tissues and used a negative pressure wound closure system where needed. After acute infection had been controlled, the local rotational flap was use...

INTRODUCTION The harmful effect of the herbal medicine to the eye has not been well reported in the literature. OBJECTIVE To report a case of bilateral corneal perforation following the use of traditional herbal medicine treated with conjunctival flap. CASE A 46-year-old Fijian man initially presented with bilateral conjunctivitis, which was thought to be an allergic response to the use of ...

Purpose The aim of this study was to evaluate the clinical outcomes of surgery for recurrent pterygia using mitomycin C (MMC), double amniotic membrane transplantation (AMT), and a large conjunctival flap. Patients and methods This retrospective case series included 31 eyes in 31 patients with recurrent pterygia. All patients underwent pterygium excision, application of MMC, double AMT, and p...

Secretory component (SC) was studied by indirect immunofluorescence of the ocular surface epithelium. We find that conjunctival epithelium produces this component, and that it is absent in the corneal epithelium. Conjunctival epithelium loses its SC staining within 1 to 2 days as it grows over a denuded corneal stroma. This implies a very rapid turn-off of the SC gene and rapid export of the ge...

We report our experience of a case in which a combination of conjunctival symblepharon detachment, conjunctival granuloma excision, and conjunctival free flap transplantation was performed for the treatment of symblepharon after pterygium surgery, with satisfactory outcomes. The patient was referred to our hospital with pterygium recurrence, symblepharon and granuloma formation after pterygiu...

Objective To evaluate the efficacy and complications of a novel surgical technique for cicatricial lower lid ectropion that uses a vertical-to-horizontal (V-to-H) rotational myocutaneous flap procedure (Tsai procedure). Methods We performed the V-to-H rotational myocutaneous flap procedure on 20 eyelids in 20 patients with mild to moderate cicatricial lower lid ectropion. A vertical myocutane...

OBJECTIVE Many techniques have been developed to enhance the gingival thickness, gingival level and emergence profile around the implant in the esthetic zone. INTRODUCTION In this study, a buccal rotational flap was used to improve the implant site in the esthetic zone and increase gingival tissue thickness. METHODS Two cases involved the use of a rotational flap during second-stage implant...