By Gerald J. Harris MD FACS
This full-color atlas is a realistic, step by step advisor to the reconstruction of periocular defects following tumor excision or tissue-loss trauma. The booklet addresses the categorical anatomic matters in every one oculofacial region with adapted surgical rules and methods designed to enhance aesthetic outcomes.
Full-color illustrations with certain explanatory legends depict each one step of every surgical strategy. Flap layout and mobilization are proven at once on surgical photos, instead of in idealized drawings. The transparent, obtainable writing kind will attract ophthalmic and plastic surgeons, non-ophthalmic surgeons, and non-surgical ophthalmic specialists.
A better half web site will comprise a web photograph bank.
Read or Download Atlas of Oculofacial Reconstruction: Principles and Techniques for the Repair of Periocular Defects PDF
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Extra resources for Atlas of Oculofacial Reconstruction: Principles and Techniques for the Repair of Periocular Defects
Sample text
In elderly patients, the risk of postoperative ptosis with even mild horizontal tension requires generous relaxation of canthal attachments. C. Reconstruction included excision of the tarsal remnant (white dotted line); triangular excisions of skin, orbicularis, and retractors/ conjunctiva (yellow line; see Figs. 51). 50. The patient has involutional ptosis of the unoperated left eye. 52 A 56-year-old patient with a broad defect through the cutaneous, but not the conjunctival, aspect of the eyelid margin—judged to be too broad to allow closure without a lashless segment, and too shallow for a tarsal graft or flap.
16 If defect width and marginal tension do not allow direct approximation, relaxation can be initiated with a small lateral canthal skin incision (black dotted line) and an internal cantholysis of the lower limb of the lateral canthal tendon (white dotted line). The pentagonal defect is then closed in standard fashion. The lateral canthal incision is not sutured (see Figs. 18). 5-cm marginal defect reconstructed with standard bilamellar reapproximation after a small lateral canthotomy/cantholysis.
40). 40 A, B. A broad defect, including the lower limb of the lateral canthal tendon. C. The tarsoconjunctival flap has been transposed and sutured to residual tarsus medially and to internal periosteum laterally. D. Using a relaxed skin tension line incision, a lower eyelid/ cheek flap has been raised. E, F. A retractor protects the orbital septum from a 4-0 polyglactin 910 suture to be passed through periosteum external to the orbital rim (asterisk), which will anchor the cheek flap. 41 Combined Hughes and anchored cheek flaps.