These reproducible approaches to Mohs surgery described herein utilize multiple modifications that enhance the speed, efficiency, and reproducibility of Mohs specimen embedding, specimen preparation, while maintaining accuracy of interpretation.

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SUMMARY A 4-year-old tearing child with obstruction of the nasolacrimal duct was treated with dacryocystorhinostomy three years after naso-orbital injury. However, what appeared to be tearing peristed, and meningitis developed. Coronal CT scans demonstrated traumatic encephalocele of the posterior superior orbital roof. A chronic orbital cerebrospinal fluid (CSF) leak was diagnosed. To our knowledge no case of chronic CSF leak has been reported that simulated tearing in an otherwise asymptomatic child. In the tearing patient who has a naso-orbital fracture the possibility of chronic CSF leak should be considered.

The authors find no evidence that homeopathic A. montana, as used in this study, is beneficial in the reduction or the resolution of ecchymosis after upper eyelid blepharoplasty.

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A 66-year-old man who presented with anophthalmic enophthalmos desired improvement in his appearance without invasive surgery. A nonincisional technique for volume augmentation in the anophthalmic socket with injectable calcium hydroxylapatite was performed. Clinical improvement was determined by comparison of preoperative and 6-month postoperative exophthalmometry values and photographs. Injectable calcium hydroxylapatite successfully increased orbital volume in this anophthalmic patient.

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