Ophthalmic plastic and reconstructive surgery
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Ophthal Plast Reconstr Surg · Nov 2008
Randomized Controlled Trial Comparative StudyEfficacy of fentanyl or alfentanil in suppressing reflex sneezing after propofol sedation and periocular injection.
A sneeze reflex may occur after propofol sedation and during periocular injections. Unexpected movement from sneezing can result in needle injury to the globe or optic nerve, or hematoma. We investigate the efficacy of concomitant fentanyl or alfentanil in reducing sneezing following propofol and during periocular injections. ⋯ Fentanyl or alfentanil suppressed sneezing after propofol sedation and eyelid anesthetic injection. These medications may prevent needle injury.
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Ophthal Plast Reconstr Surg · Nov 2008
Comparative StudyComparison of orbital fracture repair performed within 14 days versus 15 to 29 days after trauma.
To examine whether orbital floor and/or medial wall fracture repair delayed for 15 to 29 days is as effective as early surgery. ⋯ Although 14 days after trauma is commonly cited as a timeline target for orbital blowout repair, these data show that effective fracture repair can be performed up to 29 days after trauma. Patients with improving diplopia and at low risk for enophthalmos can therefore be observed for 3 to 4 weeks prior to undergoing surgery. This may help prevent unnecessary surgery in some cases. Fourteen days need not be considered a deadline for orbital floor and/or medial wall fracture repair.
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Ophthal Plast Reconstr Surg · Nov 2008
Case ReportsTraumatic pseudoaneurysm of the superficial temporal artery.
A 34-year-old man presented 1 week status post assault with a left orbital floor fracture for which he underwent repair. Approximately 3 weeks following the blunt trauma, he was noted to have a pulsatile mass over the left temple. ⋯ The patient underwent excision of the involved segment because of concern for possible rupture and pain from the lesion. Although rare, it is important to be aware of superficial temporal artery pseudoaneurysms following blunt trauma to the side of the head.