Orbital Surgery: A Conceptual Approach, 1st Edition by Jack Rootman, Bruce Stewart, Robert Alan Goldberg

By Jack Rootman, Bruce Stewart, Robert Alan Goldberg

This colour atlas is a different visible studying software for the health practitioner making plans and appearing orbital operative strategies. that includes greater than 500 full-color drawings and pictures and approximately two hundred radiographic pictures, the publication permits the health care provider to imagine the anatomic constructions of the orbit, the pathologic adjustments affecting those constructions, and the surgical options used for particular difficulties. The textual content and image presentation reduction the health practitioner in constructing an intensive figuring out of anatomy, pathology, and surgical procedure and employing this information in surgical decision-making.Emphasis all through is at the dynamic nature of the surgical decision-making method and the reasoning the skillful physician makes use of to evolve surgical recommendations to the matter to hand. The authors emphasize pathologic switch either from an investigative perspective and in the surgical atmosphere through linking drawings to real cases.The e-book starts off with a overview of the foundations of surgical administration, together with symptoms for orbital surgical procedure, clinicopathologic thoughts, normal ideas, lesion-specific administration, and disease-specific symptoms for orbital surgical procedure. An atlas of orbital anatomy offers a whole, certain surgeon's-eye view of the orbital and periorbital constructions. An atlas of orbital surgical procedure depicts neighborhood methods to the anterior orbit, mid-orbit, and apical orbit and strategies for mixed orbital and periorbital lesions; exenteration; and decompression for thyroid orbitopathy.A slide set of Orbital Surgery may also be to be had from Lippincott-Raven.

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Orbital Surgery: A Conceptual Approach, 1st Edition

This colour atlas is a distinct visible studying software for the doctor making plans and appearing orbital operative techniques. that includes greater than 500 full-color drawings and pictures and approximately two hundred radiographic photographs, the ebook allows the health care provider to imagine the anatomic constructions of the orbit, the pathologic adjustments affecting those constructions, and the surgical innovations used for particular difficulties.

Extra resources for Orbital Surgery: A Conceptual Approach, 1st Edition

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It had a low-density center and was suspicious for histiocytosis X (eosinophilic granuloma). A needle biopsy proved the diagnosis; so the patient underwent exploration with evacuation of the lesion using the CUSA followed by irrigation with corticosteroids and systemic steroid therapy, which led to resolution of the mass. 45 46 Chapter 4 Osteosynthesis Current-generation osteosynthesis systems utilize plates and screws made of titanium or biocompatible alloys. These plates can be molded into position to join bony segments disarticulated by trauma or by surgical osteotomies.

In the vasculitides, there is often a change in adjacent tissues with telangiectasia, effusion, and thickening. Necrosing Lesions ~ k s i o n sthat are characterized by necrosis can be divided into multifocal necrosis and large, more diffuse necrotic lesions. As mentioned, the diffusely necrotic lesions such as Mucor or Wegener's granulomatosis may be associated with a cheesy, almost crumbling pale to bright yellow surface. Micronecrotic lesions, on the other hand, for example, any vasculitis in which there has not been a large confluent area of necrosis, tend to have focal fine yellow spotty change associated with them, as if they are sprayed with yellow paint.

Exposure, hemostasis, and visualization are critically important, as outlined earlier. The biopsy must be a representative portion of the lesion, and this requires knowledge of both the anatomic localization and the suspected pathology of the tumor. The biopsy specimen must be gently handled to avoid crush artifact. It should be harvested with the minimal possible disruption to normal structures. Finally, the biopsy specimen must be processed rapidly to avoid drying artifact and placed in the proper fixative (or wrapped in saline gauze as a fresh specimen) to enable accurate histologic preparation.

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