The procedure in this video demonstrates a cosmetic lower lid internal blepharoplasty.
The procedure shown in this video is an upper lid retraction repair with platinum weight.
Dermis fat graft implantation has been used for decades to augment orbital volume and surface area in patients with congenital anophthalmia as well as those suffering complications of secondary anophthalmia following enucleation. It is most commonly performed as a means of socket reconstruction in patients with an exposed or extruded orbital implant and to prevent socket contracture. In this video, a dermis fat graft is harvested from the buttock and implanted into an anophthalmic socket for treatment of exposure of orbital implant in the right socket of a patient who was status post enucleation in both eyes for painful blind eyes. Suzanne K. Freitag, MD Victoria Starks, MD Zujaja Tauqeer Ophthalmic Plastic Surgery Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School
One of the most common causes of lower lid ectropion is horizontal lid laxity, the incidence of which increases with age. This condition induces poor ocular surface tear film coverage which leads to irritation, tearing, and keratopathy. Lateral tarsal strip fixation is the technique which is widely used to repair involutional ectropion due to horizontal lid laxity. Medial spindle procedure is the well-known technique for puntal ectropion correction. Both surgeries are minimally invasive, simple and effective. Contributors Suzanne K. Freitag, MD, Ophthalmic Plastic Surgery Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School Thidarat Tanking, MD, Ophthalmic Plastic Surgery Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School
Frontalis suspension blepharoptosis repair is the procedure of choice for the repair of blepharoptosis in the context of poor levator function (< 4mm). Numerous sling materials have been described for this procedure, however, preferred materials include banked, Tutoplast or autologous fascia lata, or silicone rods. This video demonstrates frontalis suspension utilizing silicone rods. Authors: Jay C. Wang, MD (Massachusetts Eye and Ear) Suzanne K. Freitag, MD (Massachusetts Eye and Ear)
The procedure in this video demonstrates repair of an eyelid cicatricial entropion with an oral mucous membrane graft in a patient with cicatricial entropion secondary to radiation therapy for uveal melanoma.
This video shows an external levator advancement ptosis repair in a patient with involutional eyelid ptosis. Authors: Justin D. Pennington, BS Suzanne K. Freitag, MD
The procedure in the video demonstrates repair of the bulbar conjunctiva post Mohs Micrographic surgery with an amniotic membrane graft and fibrin glue
The procedure in this video demonstrates an orbitotomy with lacrimal gland biopsy.
This video demonstrates an evisceration surgery with placement of a 16mm silicone implant in a patient with a blind, painful eye.
- Massachusetts Eye and Ear Infirmary
Grace Lee, M.D. is an ophthalmologist at Massachusetts Eye and Ear (MEE) with a rigorous clinical practice in ophthalmic plastic surgery. Approximately 80% of her time is devoted to patient care, which is integrated with teaching residents and fellows in the clinic and surgical setting. This component also includes direct instruction in the wet lab and weekly supervision in the MEE emergency room. Twenty percent of Dr. Lee‘s time is spent doing clinical and basic science research.Dr. Lee completed her BA of Neuroscience at Johns Hopkins University followed by a doctorate in Medicine. Upon completing her ophthalmology residency at the University of Southern California, she pursued a fellowship in ocular oncology and pathology at the Casey Eye Institute, at the Oregon Health & Science University. She directly taught residents in the pathology lab as well as through over 15 hours of didactic lectures. Her additional training involved three years of fellowship in oculoplastic surgery at MEE, where she was the recipient of the Fellow of the Year teaching award. During this fellowship, Dr. Lee collaborated with Dr. Leo Kim to produce an animal model of orbital inflammation and investigated angiogenesis in thyroid eye disease, which was published in Ophthalmology. At the culmination of her training, she was inducted into the American Society of Ophthalmic Plastic and Reconstructive Surgeons (ASOPRS) and is now Assistant Professor of Ophthalmology at Harvard Medical School (HMS).Dr. Lee‘s clinical expertise and innovations have focused on thyroid eye disease and common conditions in ophthalmic plastic surgery. She has expanded her clinical practice to involve anterior segment tumors, building on her fellowship in ocular oncology. In the process, she has trained 4 fellows, 3 of whom have accepted or will be accepting positions at academic institutions. Additionally, she serves as an oral board examiner for the American Board of Ophthalmology.
Dr Gitta Madani, FRCR, MRCS, MBBS, FDSRCS, BDS
Consultant Radiologist and Honorary Senior Lecturer
Imperial College Healthcare NHS Trust and Imperial College London
Gitta Madani is a Consultant Radiologist with a specialist interest in all aspects of head and neck and skull base radiology and performs image-guided procedures in the head and neck. She is an Honorary Lecturer at Imperial College London and involved in research, training and teaching. She has authored several book chapters, various peer-reviewed articles and national imaging guidelines.
Ali Zul Jiwani, MD, MSc, DAABIP
Director of Interventional Pulmonology
Orlando Health Cancer Institute
Dr. Jiwani, is a board-certified interventional pulmonologist with the Rod Taylor Thoracic Care Center at Orlando Health Cancer Institute where he also leads the institute’s lung cancer screening program. As an interventional pulmonologist he specializes in minimally invasive diagnostic and therapeutic endoscopy and other procedures to treat malignant and benign conditions of the airway, lungs and thorax plus pleural diseases.
David E. Rosow, MD, FACS
Director, Division of Laryngology and Voice / Associate Professor, Dept. of Otolaryngology
University of Miami Miller School of Medicine
Dr. Rosow is Associate Professor of Otolaryngology at the University of Miami Miller School of Medicine, where he has led the Division of Laryngology and Voice for over 10 years. His research and clinical interests include laryngeal cancer, recurrent respiratory papillomatosis, vocal fold paralysis, laryngotracheal stenosis and airway reconstruction, and spasmodic dysphonia. In addition to scientific publications in these areas, he has also written and edited a textbook on evidence-based practice in Laryngology.
Professor Stephen R Durham MD FRCP
Professor of Allergy and Respiratory Medicinec
National Heart and Lung Institute, Imperial College London and Royal Brompton Hospital London
Professor Durham is Head of Allergy and Clinical Immunology at NHLI and has run a joint Nose Clinic with Professor Hesham Saleh for many years. His research interests include allergic rhinitis, asthma and translational studies in allergen immunotherapy. He is a member of the Steering Committee, Immune Tolerance Network, National Institutes of Allergy and Infectious Diseases, NIH, USA.
Professor Jane Setterfield
Professor of Oral & Dermatological Medicine
Guy's & St Thomas Hospital & King's College London
Jane Setterfield is Professor of Oral and Dermatological Medicine at King’s College London and Consultant in Dermatology at St John’s Institute of Dermatology, Guy’s & St Thomas Hospitals. She leads the Oral Dermatology Service both at St John’s Institute and the Department Oral Medicine Guy’s Dental Institute. Her areas of clinical interest include immunobullous diseases, lichenoid disorders vulval dermatoses and mucocutaneous diseases. Her research areas include diagnostic techniques, pathogenic mechanisms, clinical outcome measures and optimising therapeutic approaches for mucocutaneous diseases.
Laura Matrka, MD
Ohio State University Wexner Medical Center Department of Otolaryngology - Head and Neck Surgery
Laura Matrka, MD, is an Associate Professor at the Ohio State University Wexner Medical Department of Otolaryngology – Head & Neck Surgery. She graduated magna cum laude from Dartmouth College with a BA in English and concentrations in Anthropology and Spanish, completed medical school at University of Cincinnati College of Medicine, completed her residency in Otolaryngology at The Ohio State University, and completed a Laryngology fellowship at the University of Texas Health Sciences Center, San Antonio. She is a full-time clinician who devotes significant additional time to clinical research, focusing on complicated airway management, tracheostomy complications, dysphagia after anterior cervical spine surgery, recurrent respiratory papillomatosis, gender-affirming health care, and opioid-related research, among other topics. She was inducted into the American Laryngologic Association in 2020, the Triological Society in 2019, and the American Bronchoesophageal Association in 2015.
Alexander Gelbard, MD
Vanderbilt Center for Complex Airway Reconstruction (AeroVU)
Dr. Gelbard is a board certified Otolaryngologist at Vanderbilt University in Nashville Tennessee specializing in adult laryngeal and tracheal disease. He completed his undergraduate education at Stanford University, medical school at Tulane School of Medicine, and internship and residency at the Baylor College of Medicine in Houston Texas. Dr. Gelbard completed a postdoctoral research fellowship in Immunology at the MD Anderson Cancer Center as well as a clinical fellowship in Laryngeal Surgery at Vanderbilt School of Medicine. He has authored numerous peer-reviewed articles and book chapters and lectures internationally on adult airway disease. He currently is Co-director of the Vanderbilt Center for Complex Airway Reconstruction (AeroVU). Additionally, he is a NIH-funded principle investigator studying the immunologic mechanisms underlying benign laryngeal and tracheal disease. He is also PI of an externally funded prospective multi-institutional study of idiopathic subglottic stenosis (iSGS) and managing director of the North American Airway Collaborative (NoAAC). NoAAC is a funded, multi-institutional consortium with 40 participating centers in the United States and Europe that works to exchange information concerning the treatment of adult airway disease. It is composed of outstanding collaborators who pursue a unique combination of genetic, molecular, and epidemiologic based approaches to investigate the critical factors underlying the pathogenesis and outcomes of laryngotracheal stenosis.
Taner Yilmaz, MD
Professor of Otolaryngology-Head & Neck Surgery
Hacettepe University Faculty of Medicine, Ankara, Turkey
Dr. Yilmaz has worked in laryngology since 2000. He is a member of ELS, ALA and IAP, publishing 94 international manuscripts which received 1100 citations. On top of those achieveiments, he also has two patents for a laryngoscope for arytenoidectomies and an epiglottis holding forceps for grasping a floppy epiglottis that folds inside the larynx during larygoscopy.
Edward J. Damrose, MD, FACS
Professor of Otolaryngology-Head & Neck Surgery
Stanford University School of Medicine
Dr. Damrose is Professor of Otolaryngology/Head and Neck Surgery and (by courtesy) of Anesthesiology, Perioperative & Pain Medicine in the Stanford University School of Medicine. He is the founding Chief of the Division of Laryngology and Program Director of the Stanford Fellowship in Laryngology & Laryngeal Surgery. He is member of the American Laryngological Association as well as the Triological Society, and has authored or coauthored more than 80 peer reviewed publications and 16 book chapters.
Kate Heathcote, MBBS, FRCS
University Hospitals Dorset
Kate Heathcote established the Robert White Centre for Airway, Voice and Swallow to provide a comprehensive diagnostic and treatment service. She has lectured and trained surgeons nationally and internationally in cutting edge laryngology techniques.
Phillip Song, MD
Division Director in Laryngology
Imperial College LonMassachusetts Eye and Ear Infirmary
Dr Song is the Division Director of Laryngology at Massachusetts Eye and Ear Infirmary and Assistant Professor of Otolaryngology and Head and Neck Surgery at Harvard Medical School. He specializes in laryngology with a special interest in neurolaryngology and central airway disease.
Brianna Crawley, MD
Associate Professor, Co-Director
Loma Linda University Voice and Swallowing Center
Dr. Crawley is a board-certified otolaryngologist and member of the Academy of Otolaryngology- Head and Neck Surgery, the ABEA, and the post-grad ALA. Her interests include neurolaryngology, swallowing disorders, performing voice and the surgical airway. She continues to work in new fields of research focusing on presbylarynx and presbyphonia, neurolaryngology, and understanding the patient experience.
Ramon Franco Jr, MD
Medical Director, Voice and Speech Lab, Senior Laryngologist
Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston MA, USA
Dr. Ramon Franco is a board-certified laryngologist who specializes in voice, swallowing, and breathing disorders. His main areas of expertise are in the diagnosis and treatment of voice disorders, airway stenosis, laryngeal cancer, and neurological disorders affecting the voice box. He also has special interests in the medical and surgical care of the professional voice. He serves as an Executive Board Member for the Massachusetts Society of Otolaryngology and is a fellow for the Triological Society and the American Laryngological Association.
Clark A. Rosen, MD
Co-Director / Chief - Division of Laryngology
UCSF Voice and Swallowing Center
Clark Rosen, MD is a Co-Director of the UCSF Voice and Swallowing Center, Chief of the Division of Laryngology, Professor of Otolaryngology-Head and Neck Surgery and the F Lewis Morrison MD Endowed chair of Laryngology. Dr. Rosen inaugurated modern laryngology at the University of Pittsburgh beginning in 1995 creating a dedicated center of excellence in Laryngology: University of Pittsburgh Voice Center. Dr. Rosen originated the outstanding Fellowship in Laryngology and Care of the Professional Voice at the University of Pittsburgh in 2002 and trained over 15 fellows in Larynogology and numerous visiting Otolaryngologists until 2018. He is now the director of the Laryngology fellowship at the UCSF Voice and Swallowing Center. Dr. Rosen has been a sought after speaker internationally and has had major service to multiple publications and professional societies. He is a founding member of the Fall Voice Conference, was the Vice Chair of the Annual Meeting Program Committee for the American Academy of Otolaryngology-Head and Neck Surgery (AAOHNS), and was the Treasurer of the American Laryngological Association (ALA) and is now president of the ALA.
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