Case Report
Combined Lateral Tarsal Strip and U-Plasty Flap for Surgical Management of Cicatrical Ectropion After Facial Tumor Excision: A Case Report
Reynaldo
,
Ariawan Priguna
Issue:
Volume 4, Issue 2, June 2025
Pages:
26-30
Received:
6 April 2025
Accepted:
15 April 2025
Published:
9 May 2025
Abstract: Background: Cicatricial ectropion, characterized by outward eyelid eversion due to anterior lamella shortening, often results from scar contraction after trauma or surgery. Due to scar contracture, surgical intervention is challenging to repair the defect. This condition leads to poor eyelid-globe apposition, which can cause ocular surface exposure, excessive tearing, and chronic irritation Objective: To report a case and evaluate the effectiveness of combining a lateral tarsal strip with a U-plasty flap technique in correcting cicatrical ectropion following facial tumor excision. Main ideas: A 58-year-old woman developed cicatricial ectropion following a wide excision for facial tumor removal. The patient exhibited symptoms, including eye irritation, epiphora, and discomfort. Clinical examination revealed lower eyelid ectropion, dermatochalasis, and scar tissue contraction near the left lateral canthus and maxilla. The surgical approach involved a combination of a lateral tarsal strip procedure to address horizontal eyelid laxity and a U-plasty flap to repair scar-induced anterior lamella shortening. Results at the three-month follow-up indicated successful correction of eyelid malposition with mild residual ectropion but no corneal exposure or significant complications. The patient experienced a resolution of symptoms and showed good healing at the surgical site. Conclusion: The combined lateral tarsal strip and U-plasty techniques effectively corrected cicatricial ectropion, restoring eyelid function and achieving satisfactory aesthetic results. This approach may be considered as a reconstructive option in similar cases of scar-related anterior lamellar shortening.
Abstract: Background: Cicatricial ectropion, characterized by outward eyelid eversion due to anterior lamella shortening, often results from scar contraction after trauma or surgery. Due to scar contracture, surgical intervention is challenging to repair the defect. This condition leads to poor eyelid-globe apposition, which can cause ocular surface exposure...
Show More
Research Article
COVID-19 and Coagulation Profile: A Retrospective Case Control Study
Issue:
Volume 4, Issue 2, June 2025
Pages:
31-36
Received:
18 April 2025
Accepted:
8 May 2025
Published:
23 June 2025
DOI:
10.11648/j.ijmcr.20250402.12
Downloads:
Views:
Abstract: The COVID-19 virus can initiate a coagulation cascade leading to clot formation and disseminated intravascular coagulation (DIC), raising alarms among healthcare professionals about managing severe cases and underscoring the need for a comprehensive understanding of its mechanisms and therapeutic strategies. This study examines the coagulation parameters and D-Dimer levels in confirmed COVID-19 patients in contrast healthy controls. A retrospective case control study was conducted at the Riyadh Regional Laboratory Centre in Saudi Arabia, involving 384 confirmed COVID-19 patients and an equivalent control group of non-COVID-19 individuals matched for age, gender and nationality/ethnicity. Data on demographics and laboratory results were extracted from electronic medical records. A comparative examination of coagulation factors utilizing standard methodologies for D-Dimer, Prothrombin Time (PT), activated Partial Thromboplastin Time (APTT) and International Normalized Ratio (INR) levels was conducted between individuals diagnosed with nasopharyngeal swab samples by real time- polymerase chain reaction (RT-PCR) from COVID-19 patients and non-COVID-19 individuals. Our study indicated a significant increase in the mean values of PT, APTT and D-dimer in COVID-19 positive patients than non-COVID-19 individuals. Conversely, the mean values of INR were markedly reduced in COVID-19 positive patients compared to non-COVID-19 individuals. COVID-19 patients exhibit significant abnormalities in blood coagulation profile relative to non-COVID-19 individuals. The research indicates that elevated levels of D-Dimer, PT, and APTT may serve as indicators of disease severity and prognostic markers in COVID-19 patients.
Abstract: The COVID-19 virus can initiate a coagulation cascade leading to clot formation and disseminated intravascular coagulation (DIC), raising alarms among healthcare professionals about managing severe cases and underscoring the need for a comprehensive understanding of its mechanisms and therapeutic strategies. This study examines the coagulation para...
Show More
Case Report
Eosinophilic Esophagitis with Long-standing Dysphagia
Issue:
Volume 4, Issue 2, June 2025
Pages:
37-41
Received:
16 April 2025
Accepted:
10 May 2025
Published:
30 June 2025
DOI:
10.11648/j.ijmcr.20250402.13
Downloads:
Views:
Abstract: Eosinophilic esophagitis (EoE) is a chronic, immune-mediated inflammatory condition that primarily affects the esophagus, characterized by the infiltration of eosinophils into the esophageal mucosa. This condition leads to symptoms of esophageal dysfunction, including dysphagia (difficulty swallowing), food impaction, and substernal pain. EoE is commonly associated with other atopic diseases such as asthma, allergic rhinitis, and eczema, and it predominantly affects young men with a history of atopy. Although it can occur in both children and adults, EoE is often underdiagnosed due to its subtle or nonspecific symptoms and its overlap with other gastrointestinal disorders. Rarely, EoE can present with severe complications, such as spontaneous esophageal perforation, known as Boerhaave’s syndrome, which is a life-threatening emergency. A typical diagnostic approach for EoE includes esophageal biopsies, which reveal significant eosinophilic infiltration, and endoscopic findings that may show structural changes such as strictures or rings in the esophagus. In some cases, the strictures can be severe, leading to difficulty swallowing and even food impaction. We present the case of a 36-year-old man from Addis Ababa, Ethiopia, who had been experiencing persistent substernal pain and dysphagia for eight years. His symptoms gradually worsened over time, prompting further investigation. Endoscopic examination revealed a severe lower esophageal stricture located approximately 35 cm from the incisors, and esophageal biopsies confirmed the presence of significant eosinophilic infiltration, consistent with a diagnosis of EoE. This case highlights the importance of considering EoE in patients with chronic dysphagia and substernal pain, especially those with a history of atopic conditions, and emphasizes the need for timely diagnosis and management to prevent complications.
Abstract: Eosinophilic esophagitis (EoE) is a chronic, immune-mediated inflammatory condition that primarily affects the esophagus, characterized by the infiltration of eosinophils into the esophageal mucosa. This condition leads to symptoms of esophageal dysfunction, including dysphagia (difficulty swallowing), food impaction, and substernal pain. EoE is co...
Show More
