By Jonathan Dutton MD PhD
Unlike different books of its sort, the recent Atlas of Oculoplastic and Orbital Surgery deals specified, step by step directions from preliminary pores and skin marking and lower to ultimate closure for greater than ninety quite often played oculoplastic, lacrimal, and orbital surgical procedures. each one step additionally features a matching representation inverted to house the surgeon’s real place throughout the surgery.
In addition to transparent guide, the textual content for every surgical procedure covers preoperative overview discussions, postoperative care directions, and the way to prevent and deal with power complications.
• greater than 1,000 specific colour illustrations
• textual content and matching representation are offered side-by-side for simple reference
• Key issues support reader plan the main acceptable operation and reduce complications
• Surgeons can stick to every one step and practice the process whether they aren’t acquainted with it.
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Additional info for Atlas of Oculoplastic and Orbital Surgery
Standard technique o lower blepharoplasty. In: Aston SJ, ed. T ird International Symposium of Pla stic and Reconstructive Surgery of the Eye and Adnexa. Baltimore, MD: Williams & Wilkins; 1982. Kikkawa DO, Kim JW. Lower-eyelid blepharoplasty. Int Ophthalmol Clin. 1997;37:163– 178. McCord CD Jr. Lower blepharoplasty and primary cheekli t. In: Chen PD, Khan JA, McCord CD Jr, eds. Color Atla s of Cosmetic Oculofacial Surgery. Philadelphia, PA: Butterworth Heinemann; 2004:109– 140. Morax S, ouitou V.
3. Pull up the skin at the lateral end of the wound with forceps and cut through the orbicularis muscle to enter the fascial plane between muscle and periosteum of the orbital rim. Cut through the muscle along the incision line and continue dissecting medially in the postorbicular ascial plane. Cauterize bleeding points with a bipolar electrode orceps. FIG. 4. Gently pull the eyelid margin upward and the skin–muscle ap downward with forceps to visualize the 52 fascial connections between them. With scissors, sharply dissect the ap rom the underlying tarsal plate and orbital septum.
Avoid injury to the in erior oblique muscle, which passes between the medial and central at pockets. FIG. 11. Drape the skin–muscle ap upward, over the lower eyelid incision line, and ask the patient to look upward to estimate the amount of vertical skin to be resected. Do not remove more skin than necessary. Rarely will more than 4 to 5 mm o vertical skin have to be excised. Cut the excess skin–muscle ap with scissors. FIG. 12. Pull the ap temporally and slightly upward on slight tension to overlap the lateral skin incision.