Download Atlas of Oculoplastic and Orbital Surgery by Thomas C. Spoor PDF

By Thomas C. Spoor

This e-book is a realistic, problem-orientated consultant to the administration of universal oculoplastic and orbital problems, and gives simplified strategies to advanced difficulties. this article covers top and decrease eyelid surgical procedure and service in addition to orbital surgical procedure, and the prevention and therapy of capability issues. With remarkable color surgical pictures and illustrations, Atlas of Oculoplastic and Orbital surgical procedure is vital examining for ophthalmologists, oculoplastic surgeons, neuro-ophthalmologists and plastic surgeons.

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Additional resources for Atlas of Oculoplastic and Orbital Surgery

Example text

The result is a very thin skin graft that can be placed in the lower eyelid defect (Fig. 14). The donor site may be sutured or closed with Indermil® glue. Larger defects require a retroauricular or supraclavicular skin graft. These must be compulsively thinned to be cosmetically acceptable but the result is worth the effort (see section “Cicatrical Ectropion” in chap. 2). PYOGENIC GRANULOMA Pyogenic granulomas may occur at the lateral canthal or conjunctival incisions (Fig. 15). They often scare the patients who think that they have developed a tumor.

Inverting the eyelid will allow you to detect penetration and avoid suture keratopathies (B). 18 Scissors point to the conjunctiva and Mueller’s muscle at the site of dehiscence. To the right of the scissors the levator aponeurosis and the overlying preaponeurotic fat pad are visible. To the left is the exposed tarsus (A). Surgeon’s view showing the relationship between the site of dehiscence, levator aponeurosis, and the preaponeurotic fat pad (B). 20 Suture keratopathy as a result of erosion of a suture through tarsus.

The conjunctiva is incised with scissors several millimeters posterior to the tarsus and the incision is extended along the entire horizontal length of the eyelid. The 6-0 Vicryl™ sutures are placed through the nasal and temporal conjunctiva and used for retraction. The conjunctiva is grasped with forceps and counter traction is applied to the eyelid. A conjunctival flap is dissected from the eyelid utilizing a hot cauterization. The flap is secured to the drapes with hemostats covering the globe (Fig.

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