By Gerald J. Harris MD FACS
This full-color atlas is a pragmatic, step by step consultant to the reconstruction of periocular defects following tumor excision or tissue-loss trauma. The ebook addresses the explicit anatomic issues in each one oculofacial region with adapted surgical ideas and methods designed to enhance aesthetic outcomes.
Full-color illustrations with certain explanatory legends depict every one step of every surgical strategy. Flap layout and mobilization are proven without delay on surgical images, instead of in idealized drawings. The transparent, obtainable writing variety will entice ophthalmic and plastic surgeons, non-ophthalmic surgeons, and non-surgical ophthalmic specialists.
A spouse site will contain an internet photograph bank.
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Extra info for Atlas of Oculofacial Reconstruction: Principles and Techniques for the Repair of Periocular Defects
Bicanalicular–nasal intubation allows the stents to be maintained for as long as several months without interfering with drainage. A. Schematic depiction of the lacrimal drainage system stented with silicone tubing. (Modified and reproduced with permission from Elsevier. Source: Harris GJ, Fuerste FH. Lacrimal intubation in the primary repair of midfacial fractures. , Jacksonville, FL) (B). The sheathed probes are directly visualized in the inferior meatus with a fiberoptic headlight and a long, flat narrow-billed nasal speculum (C, lower instrument) inserted lateral to the inferior turbinate.
38). 38 In my experience, the combination of flaps results in a more natural eyelid margin. Although the time of flap separation is not dictated by vascularization of an overlying graft, the attachment is maintained long enough to counter any downward traction observed during the early postoperative period. 39 The risk of late ectropion may be reduced, and the time of flap separation accelerated, by resurfacing the Hughes tarsoconjunctival flap with a laterally derived, horizontally directed cheek flap anchored to the periosteum of the lateral orbital rim (asterisk) (see Fig.
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. Extensive basal cell carcinoma had replaced the entire lower eyelid. Patient 1 year after surgery. 42 Combined Hughes and anchored cheek flaps used for repair of broad, shallow defect of left lower tarsus. Patient 6 months after surgery. 43 Combined Hughes and anchored cheek flaps.
Atlas of Oculofacial Reconstruction: Principles and Techniques for the Repair of Periocular Defects by Gerald J. Harris MD FACS