Lymphatic drainage patterns of the human eyelid: assessed by lymphoscintigraphy.

Abstract:

PURPOSE:To describe the lymphatic drainage patterns of the human eyelids. METHODS:Twenty-eight consenting patients who underwent unilateral eyelid surgery at McMaster University between March 2001 and July 2003 had their contralateral eyelids injected with 0.2 ml (0.250 mCi) of Tc 99 m sulphur colloid. The patients were divided into 1 of 5 injection sites of the eyelid, namely upper lateral, upper medial, medial canthus, lower medial, and lower lateral. Lymphoscintigraphy was performed between 2 and 6 hours later with a conventional planar gamma camera. Nodes in the head and neck were identified. In 15 patients, the right eye was injected, and in 13 patients, the left eye was injected. RESULTS:Three patients had no nodes that were identifiable. The remaining 25 patients had at least one node identified. In 11 patients, more than one node was identified. In 18 patients, the preauricular node was most intense and recognized first. Regardless of location on the eyelid, the sentinel node was most commonly the preauricular node. CONCLUSIONS:These results conflict with previously described classic drainage patterns of the eyelid lymphatics. In 72% (18/25) of cases, the first-order sentinel node was the preauricular node, regardless of location of the injection site on the eyelid. Many individuals did not fit the classic drainage patterns.

authors

Nijhawan N,Marriott C,Harvey JT

doi

10.1097/IOP.0b013e3181c32e57

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

281-5

issue

4

eissn

0740-9303

issn

1537-2677

journal_volume

26

pub_type

杂志文章
  • Improvement in levator function after anterior levator resection for the treatment of congenital ptosis.

    abstract:PURPOSE:To evaluate the surgical outcome of levator resection in congenital ptosis, and to assess the change in levator function (LF) after surgery, as well as its effect on surgical outcomes. METHODS:The charts of patients who underwent an anterior levator resection for congenital ptosis between January 2010 and Febr...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000242

    authors: Göncü T,Çakmak S,Akal A,Karaismailoğlu E

    更新日期:2015-05-01 00:00:00

  • Acute diplopia as the presenting sign of silent sinus syndrome.

    abstract::Silent sinus syndrome is a rare acquired condition that typically presents as enophthalmos and hypoglobus due to atelectasis of the maxillary sinus. The chronic negative pressure in the sinus slowly retracts the orbital floor, altering orbital anatomy and affecting the function of orbital contents. The authors present...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e31827bda92

    authors: Saffra N,Rakhamimov A,Saint-Louis LA,Wolintz RJ

    更新日期:2013-09-01 00:00:00

  • Non-traumatic subperiosteal orbital hematoma as a presenting sign of chronic myelogenous leukemia.

    abstract::We present a case with a nontraumatic subperiosteal orbital hematoma as a presenting sign of chronic myelogenous leukemia. A previously healthy 34 year-old man presented with a 2-day history of right upper eyelid swelling. CT scan revealed a subperiosteal mass, and routine blood tests revealed a white blood cell count...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e31822ddf85

    authors: Yoon MK,McCulley TJ

    更新日期:2012-07-01 00:00:00

  • Primary intraosseous hemangioma of the orbit. Report of a case and review of literature.

    abstract::Orbital intraosseous hemangiomas are rare entities, with only 15 previously reported. We review these and present our own. They are benign, vascular tumors, typically found in the frontal, ethmoid, or zygomatic bones. They tend to present in the 4th or 5th decades as a mildly painful orbital rim mass. Ocular findings ...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00002341-198912000-00004

    authors: Zucker JJ,Levine MR,Chu A

    更新日期:1989-01-01 00:00:00

  • The "leicester lasso" lateral canthoplasty.

    abstract:PURPOSE:To describe an innovative technique of lateral canthal tendon (LCT) anchoring to the lateral orbital rim on its inner aspect using a "lasso" technique, in order to provide the ideal vector. METHODS:A retrospective case review of seven patients (n = 7), performed from 2009 to 2013 at our institution by the seni...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3182a22ab8

    authors: Kannan RY,Chuah JL,Burns J,Sampath RG

    更新日期:2014-03-01 00:00:00

  • Giant cell angiofibroma, a variant of solitary fibrous tumor, of the orbit in a 16-year-old girl.

    abstract::A 16-year-old girl presented with diplopia and gradual-onset, painless proptosis of the left eye. Orbital CT showed a well-circumscribed, enhancing, extraconal mass in the superior orbit, and the surgical excision was performed. Histopathology was interpreted as capillary hemangioma. Five years later, her symptoms rec...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3181b39a15

    authors: Demirci H,Shields CL,Eagle RC Jr,Shields JA

    更新日期:2009-09-01 00:00:00

  • Role for surgery as adjuvant therapy in optic nerve sheath meningioma.

    abstract:PURPOSE:To describe a role for optic nerve decompression as adjuvant surgical therapy in the management of optic nerve sheath meningioma in patients with severe, progressive visual loss and optic disc edema before or after radiation therapy. METHODS:Interventional case report. RESULTS:Two patients with unilateral opt...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.iop.0000225420.06323.76

    authors: Turbin RE,Wladis EJ,Frohman LP,Langer PD,Kennerdell JS

    更新日期:2006-07-01 00:00:00

  • Conservative treatment of adenoid cystic carcinoma with plaque radiotherapy: a case report.

    abstract::Adenoid cystic carcinoma is a rare but aggressive malignant tumor of the lacrimal gland. Mortality rates have been found to be quite high (>50%). This has led to the traditional method of treatment with radical surgery including orbital exenteration and bone resection, followed by external beam radiotherapy to the orb...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3181b8c61d

    authors: Lewis KT,Kim D,Chan WF,Jaiwatana J,Calcote C

    更新日期:2010-03-01 00:00:00

  • Small Benign Storiform Fibrous Tumor (Fibrous Histiocytoma) of the Conjunctival Substantia Propria in a Child: Review and Clarification of Biologic Behavior.

    abstract:PURPOSE:A case of a small benign storiform fibrous tumor of the conjunctival substantia propria is described to clarify the category of fibrous histiocytoma. In addition, a comparison of the various spindle cell tumors of the conjunctival substantia propria is explored. METHODS:The patient underwent a complete tumor e...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000001355

    authors: Tieger MG,Jakobiec FA,Ma L,Wolkow N

    更新日期:2019-09-01 00:00:00

  • Orbital Extension of Conjunctival Pseudoadenomatous Hyperplasia.

    abstract::A 41-year-old woman developed persistent unilateral conjunctivitis following an upper respiratory infection. A white cystic lesion of the inferior fornix was noted on computed tomography scan to extend behind the orbital septum into the anterior portion of the orbit. Following subtotal excision, histopathology showed ...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type:

    doi:10.1097/IOP.0000000000001171

    authors: Charles NC,Palu RN

    更新日期:2018-09-01 00:00:00

  • Orbital metastasis from medullary thyroid carcinoma.

    abstract::A 46-year-old woman with known multiple endocrine neoplasia type 2A was referred for evaluation of left-sided progressive diplopia and proptosis. She was given the presumptive diagnosis of progressive thyroid-associated orbitopathy. Clinical examination revealed significant proptosis and restricted motility of the lef...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e31818b751d

    authors: Seiff BD,Seiff SR

    更新日期:2008-11-01 00:00:00

  • Ophthalmic considerations in the management of Tessier cleft 5/9.

    abstract:PURPOSE:To describe a patient with Tessier cleft number 5 and 9 and review the literature on the ocular impairment and management of this extremely rare anomaly. METHODS:Interventional case report and literature review. RESULTS:The literature review showed that the present patient is the second case with clefts 5/9. ...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3181d9293a

    authors: Pereira FJ,Milbratz GH,Cruz AA,Vasconcelos JJ

    更新日期:2010-11-01 00:00:00

  • Leiomyosarcoma of the esophagus metastatic to the eyelid: a clinicopathologic report.

    abstract:PURPOSE:To report a case of gastrointestinal sarcoma with leiomyosarcomatous differentiation metastatic to the eyelid. METHODS:Clinical data including a comprehensive ophthalmologic examination, histologic findings, a bone scan, and hospital records were reviewed. RESULTS:A 56-year-old woman with a history of esophag...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00002341-200203000-00014

    authors: Esmaeli B,Cleary KL,Ho L,Safar S,Prieto VG

    更新日期:2002-03-01 00:00:00

  • Predictors of Success Following Müller's Muscle-Conjunctival Resection.

    abstract:PURPOSE:This study aims to describe Müller's muscle-conjunctival resection surgery in terms of outcomes and potential factors that may predict final positions. METHODS:This cross-sectional cohort study included patients undergoing Müller's muscle-conjunctival resection surgery for involutional ptosis over a 15-year pe...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000001065

    authors: Dan J,Sinha KR,Rootman DB

    更新日期:2018-09-01 00:00:00

  • Porous implant exposure: Incidence, management, and morbidity.

    abstract:PURPOSE:To identify what factors may predispose patients to exposure of porous anophthalmic implants and to determine the outcome of exposed porous implants. METHODS:Examination of pooled data obtained through a PubMed literature search of English-language publications from 1989 through 2004 using the key words enucle...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.iop.0000249432.18688.ee

    authors: Custer PL,Trinkaus KM

    更新日期:2007-01-01 00:00:00

  • Stereotactic Navigation Improves Outcomes of Orbital Decompression Surgery for Thyroid Associated Orbitopathy.

    abstract:PURPOSE:To test whether intraoperative stereotactic navigation during orbital decompression surgery resulted in quantifiable surgical benefit. METHODS:This retrospective cohort study examined all consecutive patients who underwent primary orbital decompression surgery for thyroid associated orbitopathy performed by a ...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000001630

    authors: Heisel CJ,Tuohy MM,Riddering AL,Sha C,Kahana A

    更新日期:2020-11-01 00:00:00

  • Conjunctival epithelial involvement by eyelid sebaceous carcinoma. The 2003 J. Howard Stokes lecture.

    abstract:PURPOSE:To determine incidence and distribution of conjunctival epithelial involvement by eyelid sebaceous carcinoma and to make recommendations regarding its management. METHODS:The medical records were reviewed retrospectively on patients with histopathologically confirmed sebaceous carcinoma of the eyelids managed ...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type:

    doi:10.1097/01.iop.0000152494.47038.0e

    authors: Shields JA,Demirci H,Marr BP,Eagle RC Jr,Stefanyszyn M,Shields CL

    更新日期:2005-03-01 00:00:00

  • Involvement of Multiple Trigeminal Nerve Branches in IgG4-Related Orbital Disease.

    abstract:PURPOSE:To describe the occurrence of multiple trigeminal nerves (TGNs) enlargement in patients with orbital IgG4-related disease. METHODS:Retrospective review of MRI findings and medical records of 6 patients (10 orbits) with orbital IgG4-related disease and enlargement of more than 1 TGN. Orbital biopsies were perfo...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000001733

    authors: Elkhamary SM,Cruz AAV,Zotin MC,Cintra M,Akaishi P,Galindo-Ferreiro A,Alkatan HM,Chahud F

    更新日期:2020-06-04 00:00:00

  • Hertel curve: orbital volume increment and proptosis in a cadaver model.

    abstract:PURPOSE:This study examined the relation between effective orbital volume increment and proptosis induced by an inflatable orbital implant in a human cadaver orbit. METHODS:A 25-ml inflatable latex balloon was inserted between the periorbita and orbital floor in 15 human cadavers. Hertel measurements were taken for ea...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.iop.0000180751.06033.9f

    authors: Neuschwander TB,Chang EL,Sadun AA

    更新日期:2005-11-01 00:00:00

  • Management of Orbital and Periocular Vascular Anomalies.

    abstract:PURPOSE:To review the treatment modalities available to clinicians who treat orbital and periocular vascular anomalies, with a focus on newer approaches. METHODS:The authors' experience, along with a literature review, was used to provide a concise summary of the available approaches to the treatment of periocular vas...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/IOP.0000000000000504

    authors: Stacey AW,Gemmete JJ,Kahana A

    更新日期:2015-11-01 00:00:00

  • Clinical characterization and blepharoptosis surgery outcomes in Hispanic New Mexicans with oculopharyngeal muscular dystrophy.

    abstract:PURPOSE:To clinically characterize blepharoptosis in Hispanic New Mexicans with oculopharyngeal muscular dystrophy and examine eyelid surgery outcomes. METHODS:A retrospective noncomparative case series and retrospective, nonrandomized, comparative interventional case series was performed on medical records from 86 pa...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3181994e21

    authors: Allen RC,Jaramillo J,Black R,Sandoval D,Morrison L,Qualls C,Carter KD,Nerad JA

    更新日期:2009-03-01 00:00:00

  • Axial Globe Position Measurement: A Prospective Multicenter Study by the International Thyroid Eye Disease Society.

    abstract:PURPOSE:Identify a reproducible measure of axial globe position (AGP) for multicenter studies on patients with thyroid eye disease (TED). METHODS:This is a prospective, international, multicenter, observational study in which 3 types of AGP evaluation were examined: radiologic, clinical, and photographic. In this stud...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/IOP.0000000000000437

    authors: Bingham CM,Sivak-Callcott JA,Gurka MJ,Nguyen J,Hogg JP,Feldon SE,Fay A,Seah LL,Strianese D,Durairaj VD,Uddin J,Devoto MH,Harris M,Saunders J,Osaki TH,Looi A,Teo L,Davies BW,Elefante A,Shen S,Realini T,Fischer W

    更新日期:2016-03-01 00:00:00

  • Use of isobutyl cyanoacrylate tissue adhesive to stabilize mucous membrane grafts in total socket reconstruction.

    abstract:PURPOSE:To describe a technique to secure a mucous membrane graft to a custom conformer during reconstruction of the conjunctival fornices and socket. METHODS:A cyanoacrylate-based tissue glue was used instead of sutures to secure the mucous membrane graft to the conformer. RESULTS:The adhesion between the graft and ...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00002341-199905000-00011

    authors: Gallemore RP,Green J,Shorr N,Goldberg RA

    更新日期:1999-05-01 00:00:00

  • Bilateral Eyelid Pseudoptosis From Lipogranulomas of the Preaponeurotic Fat Pads.

    abstract::Lipogranulomas of the periocular tissues with fulminant fibrotic and lymphohistiocytic responses were initially described in cases of exogenous paraffin or petrolatum jelly injections ("paraffinomas"). A 49-year-old Cambodian woman slowly developed bilateral pseudoptosis with intact levator function and redundant, tau...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000157

    authors: Jakobiec FA,Rai R,Rashid A,Sutula FC

    更新日期:2015-09-01 00:00:00

  • Exophytic Osteochondroma of the Brow.

    abstract::Most bony and cartilaginous lesions of the orbit and periorbital compartments are benign, grow endophytically, and are composed of dense lamellar bone (eburnated or ivory osteomas). An 87-year-old woman had a well-circumscribed, firm, round, and exophytic lesion of the brow region for at least 15 years. Excisional sur...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000943

    authors: Jakobiec FA,Zakka FR,Lee NG

    更新日期:2017-11-01 00:00:00

  • Piezosurgery in External Dacryocystorhinostomy.

    abstract:BACKGROUND:Dacryocystorhinostomy (DCR) can be performed via an external or endoscopic approach. The use of ultrasonic or piezosurgery has been well described for endoscopic DCRs but is lacking for external DCRs. This study presents a case series of external DCRs performed using piezosurgery evaluating results and compl...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000796

    authors: Czyz CN,Fowler AM,Dutton JJ,Cahill KV,Foster JA,Hill RH,Everman KR,Nabavi CB

    更新日期:2017-01-01 00:00:00

  • Congenital blepharoptosis co-occurring with VATER association.

    abstract::VATER association is the tendency for 5 specific anomalies (vertebral and vascular anomalies [V], anal atresia [A], esophageal atresia and/or tracheoesophageal fistula [TE], and radial and renal anomalies [R]) to occur together in one individual. Recently, malformations and abnormalities, other than those of diagnosti...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3181c9fdf0

    authors: Ichinose A,Nomura K,Murakami H,Tahara S

    更新日期:2010-09-01 00:00:00

  • Recession and Extirpation of the Lower Eyelid Retractors for Paralytic Lagophthalmos.

    abstract:PURPOSE:To describe a technique to correct lower eyelid malposition and lagophthalmos due to facial nerve palsy. METHODS:Chart review was performed and identified 13 patients with facial nerve palsy, who presented with paralytic eyelid malposition and were treated with recession and extirpation of the lower eyelid ret...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000485

    authors: Compton CJ,Clark JD,Nunery WR,Lee HB

    更新日期:2015-07-01 00:00:00

  • Recurrent cholesterol granuloma of the orbit.

    abstract::A 40-year-old woman presented with a 1-year history of left proptosis and hypoglobus. Eight years ago, she had undergone the surgical removal of left orbital cholesterol granuloma by Krönlein lateral orbitotomy. MRI showed a lesion of high T1-signal intensity and heterogeneous T2-signal intensity, which did not demons...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3182a22f26

    authors: Kim YJ,Sa HS

    更新日期:2014-09-01 00:00:00

  • Pilomatrix carcinoma of the eyebrow.

    abstract::Pilomatrix carcinoma is an uncommon malignant neoplasm originating from the hair follicle matrix. It occurs more frequently in head and neck region and rarely on the eyelid and eyebrow. It is often clinically misdiagnosed. The diagnosis is confirmed by excision biopsy and histopathological examination. A 68-year-old w...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000021

    authors: Pauly M,Subramanian K,Anantharaman G,Anthony E

    更新日期:2015-01-01 00:00:00