Glenn W. Jelks, M.D.

Successful management of orbital cellulitis and temporary visual loss after blepharoplasty
Chiu, Ernest S; Capell, Brian C; Press, Robert; Aston, Sherell J; Jelks, Elizabeth B; Jelks, Glenn W
2006 Sep;118(3):67e-72e, Plastic & reconstructive surgery
— id: 70985, year: 2006, vol: 118, page: 67e, stat: Journal Article,

Medial canthal reconstruction using a medially based upper eyelid myocutaneous flap
Jelks, Glenn W; Glat, Paul M; Jelks, Elizabeth B; Longaker, Michael T
2002 Dec;110(7):1636-1643, Plastic & reconstructive surgery
Periorbital reconstruction following skin cancer ablation represents a challenging problem. A thorough understanding of the complex periorbital anatomy is necessary to preserve lid function and protect the ocular surface. The medial canthal region represents the most difficult periorbital zone to reconstruct. This area has a complex anatomy involving both the medial canthus itself and the lacrimal apparatus. The authors present their experience with a versatile technique for reconstruction of the medial canthal periorbital region, namely, a medially based upper eyelid myocutaneous flap. In the 10 patients in whom this procedure was used, there was one partial and no complete flap losses. The authors believe that the medially based upper lid myocutaneous flap offers an excellent solution to the difficult problem of medial canthal periorbital reconstruction
— id: 70986, year: 2002, vol: 110, page: 1636, stat: Journal Article,

Prevention of ectropion in reconstruction of facial defects
Jelks GW; Jelks EB
2001 Apr;28(2):297-302, viii, Clinics in plastic surgery
Lower eyelid malpositions and ocular damage occur with inadequate reconstructions of facial defects that encroach on the periocular region. Reconstructive principles and techniques are presented that are essential in the prevention of ectropion in these situations. Eyelid and periocular anatomy is reviewed. The use of canthalplasties, canalicular reconstruction, and ancillary techniques for facial flaps are presented
— id: 20616, year: 2001, vol: 28, page: 297, stat: Journal Article,

Prevention of ectropion in reconstruction of facial defects
Jelks, GW; Jelks, EB
2001 Aug;34(4):783-78?, Otolaryngologic clinics of North America
Ectropion, or eversion of the lid margin away from the globe, can occur after surgical reconstruction of facial defects that encroach on the lower eyelid. This article discusses prevention of ectropion in the reconstruction of facial defects
— id: 28211, year: 2001, vol: 34, page: 783, stat: Journal Article,

The correction of lower lid malposition following lower lid blepharoplasty
Jelks GW
1999 ;103(3):1040-1040, Plastic & reconstructive surgery
— id: 8140, year: 1999, vol: 103, page: 1040, stat: Journal Article,

Periorbital melanocytic lesions: excision and reconstruction in 40 patients [see comments]
Glat PM; Longaker MT; Jelks EB; Spector JA; Roses DF; Shapiro RA; Zide BM; Jelks GW
1998 Jul;102(1):19-27, Plastic & reconstructive surgery
The treatment of melanoma arising in the periorbital region is a difficult reconstructive problem. The abundance of vital structures in close proximity to one another makes the resection and subsequent reconstructive procedures extremely challenging. Reported here is experience with periorbital melanocytic lesions in 40 patients with the emphasis on the types of reconstruction performed. Forty patients with periorbital melanocytic lesions were treated between 1984 and 1995. The periorbital region was subdivided into five zones. These zones are the following: zone I, upper eyelid; zone II, lower eyelid; zone III, medial canthus; zone IV, lateral canthus; and zone V, contiguous structures. Ocular melanomas were not included in this study. The distribution of the lesions in our 40 patients was zone I (n = 1), zone II (n = 14), zone III (n = 1), zone IV (n = 9), and zone V (n = 31). The ages of the patients ranged from 3 to 84 years at the time of reconstruction, with an average age of 57 years. Resection and reconstruction were performed simultaneously in all patients. Thirty-six of the patients were reconstructed with one procedure, three patients required two procedures, and one patient required five procedures. The tumor type was superficial spreading melanoma in 15 patients, melanoma in situ in 17 patients, malignant spindle cell neoplasm in 2 patients, desmoplastic melanoma in 2 patients, amelanocytic melanoma in 1 patient, epithelioid melanoma in 1 patient, and atypical melanocytic nevus in 2 patients in which an early, evolving melanoma could not be excluded. Elective lymph node dissection was performed in four patients for intermediate thickness lesions (1.5 to 4.0 mm). The types of reconstructions performed included full-thickness skin grafts, upper lid myocutaneous flaps, cheek advancement flaps, cervicofacial flaps, inferiorly based nasolabial flaps, tarsoconjunctival flaps, frontalis muscle flaps, medial transposition Z-plasty, and primary closure. The resection of periorbital melanomas can be difficult because of the number of important anatomic structures in the region. The challenge to the surgeon in handling head and neck melanomas in general lies in the need to provide the best functional and aesthetic result while still resecting the primary lesion with the intent of effecting a cure. We present our series to demonstrate that the adequacy of margins of resection need not be compromised to facilitate reconstruction and that excellent results are obtainable with reconstructive procedures performed after adequate resections. Several different types of flaps and grafts can be used, with the indications varying depending on the location of the lesion and the extent of resection. The major reconstructive options will be reviewed in detail
— id: 7578, year: 1998, vol: 102, page: 19, stat: Journal Article,

Evolution of the lateral canthoplasty: techniques and indications
Glat PM; Jelks GW; Jelks EB; Wood M; Gadangi P; Longaker MT
1997 Nov;100(6):1396-1405, Plastic & reconstructive surgery
Lateral canthoplasty is a useful method to restore eyelid function and to protect the ocular surfaces. The success of the procedure depends on the proper analysis of periorbital anatomy as it relates to the specific indication for lateral canthoplasty. We report the experience with 1565 lateral canthoplasties with emphasis on the evaluation of newer techniques that better address anatomic and functional requirements. Between 1981 and 1994, 1565 lateral canthoplasties were performed in 684 patients. Of these, 1369 'reconstructive' lateral canthoplasties were performed in 586 patients and 196 'cosmetic' lateral canthoplasties were performed in 98 patients. All operations were performed by a single surgeon (Jelks), and follow-up ranged from 1 to 14 years. The evolution of the operative technique for lateral canthoplasty has been toward an operation that corresponds with the anatomy of the individual. Indications for the procedure include lateral canthal dystopia, horizontal lid laxity, ectropion, entropion, lid margin eversion, lid retraction with or without soft-tissue deficiency, and aesthetic improvement. The types of procedures performed will be reviewed in detail. The evaluation of the newer forms of lateral canthoplasty as unique reconstructive tools and as adjuncts to aesthetic surgery will be discussed
— id: 12192, year: 1997, vol: 100, page: 1396, stat: Journal Article,

The inferior retinacular lateral canthoplasty: a new technique
Jelks GW; Glat PM; Jelks EB; Longaker MT
1997 Oct;100(5):1262-1270, Plastic & reconstructive surgery
Lateral canthoplasty is a useful method of restoring lower eyelid position and thereby protecting the ocular surfaces. The success of the lateral canthoplasty procedure depends on the proper analysis of periorbital anatomy. Newer lateral canthoplasty techniques have become progressively refined in an attempt to avoid the drawbacks and pitfalls of older procedures. We present the inferior retinacular lateral canthoplasty, developed to effectively address the problems associated with lower lid laxity and/or malposition. The inferior retinacular lateral canthoplasty is a versatile reconstructive procedure that also can be used as an adjunct to aesthetic surgery. The evolution of the inferior retinacular lateral canthoplasty from over 15 years of clinical experience is discussed
— id: 12250, year: 1997, vol: 100, page: 1262, stat: Journal Article,

Preoperative evaluation of the blepharoplasty patient. Bypassing the pitfalls
Jelks GW; Jelks EB
1993 Apr;20(2):213-223, Clinics in plastic surgery
Patients predisposed to postoperative eyelid malposition can be identified by the careful preoperative analysis of the periorbital anatomy in conjunction with a good medical history. When necessary, ancillary procedures are performed at the time of the initial blepharoplasty to avoid undesirable deformities
— id: 13197, year: 1993, vol: 20, page: 213, stat: Journal Article,

Repair of lower lid deformities
Jelks GW; Jelks EB
1993 Apr;20(2):417-425, Clinics in plastic surgery
The most common complication of blepharoplasty is an unnatural distortion of the lower eyelid. Identification of the underlying anatomic deformities dictates the reconstructive procedures. Emphasis is placed on utilization of the dermal-orbicular pennant lateral canthoplasty
— id: 13196, year: 1993, vol: 20, page: 417, stat: Journal Article,

Periocular reconstruction: a systematic approach
Spinelli, H M; Jelks, G W
1993 May;91(6):1017-1024, Plastic & reconstructive surgery
The records and photographs of 90 patients who underwent reconstructive procedures on the eyelids, canthi, and periocular tissues between 1982 and 1988 were reviewed retrospectively. The defects created by either fresh tissue histologically controlled resection or primary excision were analyzed according to location, size, and degree of resection and visual status. Histologic types included nodular, morphea, and fibrosing basal cell carcinomas; well to poorly differentiated squamous cell carcinoma; and melanoma in situ. The adequacy of both ocular protection and tissue preservation was assessed between 1 and 6 years postoperatively. Anatomic as well as functional reconstructions were performed with a complication rate of 12 percent. There were two tumor recurrences requiring extensive craniofacial extirpation and reconstruction. A systematic method of classifying periocular defects was developed in order to analyze various reconstructive options as well as the type and frequency of complications encountered. This classification system is applicable to primary benign and malignant lesions as well as defects. Analysis of patients who underwent periocular reconstruction in the context of this classification system reveals that larger defects and those involving the medial canthus are more prone to complications. Recurrent complications in the medial and lateral canthal region underscore the necessity of routinely utilizing ancillary procedures such as lacrimal intubation and canthopexy. Recommendations for periocular reconstruction are suggested based on this classification system
— id: 70987, year: 1993, vol: 91, page: 1017, stat: Journal Article,

The influence of orbital and eyelid anatomy on the palpebral aperture
Jelks GW; Jelks EB
1991 Jan;18(1):183-195, Clinics in plastic surgery
A multitude of factors influence the palpebral aperture: the surrounding bony orbital anatomy, the internal orbital volume, the integrity of the eyelids, and their muscular and tarsoligamentous support system. Furthermore, it is influenced by the relative amount of associated periorbital skin, fat, and soft tissues. Unique individual combinations of the above eyelid and orbital anatomic influences cause the variations in the palpebral apertures
— id: 14165, year: 1991, vol: 18, page: 183, stat: Journal Article,

Clinical and radiographic evaluation of the orbit
Jelks GW; Jelks EB; Ruff G
1988 Feb;21(1):13-34, Otolaryngologic clinics of North America
A complete clinical examination of the orbit must include a detailed physical evaluation of the eye and its associated structures. Whether the examination is for a traumatic, infectious, inflammatory, or neoplastic condition of the orbit, the main concern is determination of the visual status and preservation of vision
— id: 11196, year: 1988, vol: 21, page: 13, stat: Journal Article,

Oculoplastic surgery
Jelks, Glenn W
Philadelphia : Saunders, 1988,
— id: 76, year: 1988, vol: , page: , stat: ,

"Paton & Goldberg's Management of ocular injuries"
Zide B; Jelks G
1986 ;77:1005-1005, Plastic & reconstructive surgery
— id: 50617, year: 1986, vol: 77, page: 1005, stat: Journal Article,

Surgical anatomy of the orbit
Zide, Barry M; Jelks, Glenn W
New York : Raven Press, 1986,
— id: 830, year: 1986, vol: , page: , stat: ,

Surgical anatomy of the orbit
Zide, Barry M.; Luce, Craig; Jelks, Glenn W
New York : Raven Press, c1985,
— id: 40, year: 1985, vol: , page: , stat: ,

Surgical anatomy of the orbit
Zide BM; Jelks GW
1984 Aug;74(2):301-305, Plastic & reconstructive surgery
— id: 18186, year: 1984, vol: 74, page: 301, stat: Journal Article,

Early correction of orbicularis oculi paralysis with an encircling silicone prosthesis
Jelks, G W; Ransohoff, J
1983 Mar;12(3):318-320, Neurosurgery
Fifteen patients with paralysis of the 7th and 5th nerves or the 7th nerve alone were treated with an encircling silicone prosthesis. There has been no serious ocular complication observed over the last 3 years. The prosthesis has been removed in 9 of the 15 patients in whom good 7th nerve recovery has occurred. In the remaining 6 patients, the prosthesis is being well tolerated
— id: 67644, year: 1983, vol: 12, page: 318, stat: Journal Article,

IDENTIFICATION AND TREATMENT OF OCULAR, EYELID, AND ORBITAL COMPLICATIONS OF LOCALLY INVASIVE SKIN CANCERS
JELKS, GW
1983 ;9(8):663-664, Journal of dermatologic surgery & oncology
— id: 40649, year: 1983, vol: 9, page: 663, stat: Journal Article,

Dry eye syndrome and other tear film abnormalities
Jelks, G W; McCord, C D Jr
1981 Oct;8(4):803-810, Clinics in plastic surgery
The goal of cosmetic blepharoplasty is to obtain an improvement in the appearance of the eyelids without causing functional or symptomatic alterations in the patients. Patients with undiagnosed problems in tear production who have cosmetic blepharoplasties are a common source of extremely dissatisfied patients with alarming ocular symptoms. Although keratoconjunctivitis sicca is the most common manifestation of an abnormal tear film state, there are other conditions of which the eyelid surgeon should be aware. Knowledge of methods used in the diagnosis of states of tear deficiency will allow the surgeon to better select candidates for cosmetic eyelid procedures
— id: 70988, year: 1981, vol: 8, page: 803, stat: Journal Article,

Blepharoplasty and the dry eye syndrome: guidelines for surgery?
Rees TD; Jelks GW
1981 Aug;68(2):249-252, Plastic & reconstructive surgery
— id: 51047, year: 1981, vol: 68, page: 249, stat: Journal Article,

The evaluation and management of the eye in facial palsy
Jelks, G W; Smith, B; Bosniak, S
1979 Jul;6(3):397-419, Clinics in plastic surgery
— id: 70989, year: 1979, vol: 6, page: 397, stat: Journal Article,

Uniocular nystagmus in monocular visual loss
Yee, R D; Jelks, G W; Baloh, R W; Honrubia, V
1979 Apr;86(4):511-522, Ophthalmology
Uniocular nystagmus was studied by electro-oculography in ten patients with monocular visual loss caused by ocular and optic nerve lesions. In these patients, visual loss was congenital or acquired in childhood or adult life. In all patients the oscillations were present in the primary position of gaze and were vertical, pendular, and of variable and low frequency (less than, or equal to, 1.0 HZ) and amplitude (usually less than 5 degrees). Refixation saccades, smooth pursuit, optokinetic nystagmus, and vestibuloocular responses to rotation in the horizontal and vertical planes were within normal limits. The irregularity, low frequency, and low amplitude of this form of nystagmus cause it to often be missed during casual clinical examination, but easily differentiate it from other causes of uniocular nystagmus
— id: 70990, year: 1979, vol: 86, page: 511, stat: Journal Article,

Effects of local acidosis on vascular resistance in dog skeletal muscle
Emerson, T E Jr; Parker, J L; Jelks, G W
1974 Jan;145(1):273-276, Proceedings of the Society for Experimental Biology & Medicine
— id: 70992, year: 1974, vol: 145, page: 273, stat: Journal Article,

Effects of plasma electrolyte abnormalities on total peripheral resistance and other hemodynamic parameters in dogs
Jelks, G W; Emerson, T E Jr
1974 May;146(1):59-65, Proceedings of the Society for Experimental Biology & Medicine
— id: 70991, year: 1974, vol: 146, page: 59, stat: Journal Article,

Effects of prostaglandin E1 and F2 alpha on venous return and other parameters in the dog
Emerson, T E Jr; Jelks, G W; Daugherty, R M Jr; Hodgman, R E
1971 Jan;220(1):243-249, American journal of physiology
— id: 70993, year: 1971, vol: 220, page: 243, stat: Journal Article,