Ophthalmic and Facial Plastic Surgery A Compendium of Reconstructive and Aesthetic Techniques

by Nesi, Frank A.; Gladstone, Geoffrey J.; Brazzo, Brian G.; Myint, Shoib

• ISBN13: 9781556424519
• ISBN10: 1556424515
• Format: Hardcover
• Copyright: 2000-10-16
• Publisher: Slack Incorporated

Summary

This new book was designed as an illustrated teaching tool. Its goal is to teach you how to perform the best techniques for established and cutting edge ophthalmic plastic surgery procedures. The diverse selection of techniques is ideal for surgeons at various levels of expertise because each description is concisely written and contains succinct descriptive anaysis. The newest developments in endoscopic, laser, and cosmetic facial procedures are included. In addition, the text covers the plastic surgery techniques section of the new ophthalmology core curriculum. As general ophthalmologists continue to perform increasing numbers of plastics procedures, and specialists' practices expand, the authors recognize the need for a book that will cover the full spectrum of procedures. The scope of the book is tremendous, with the material presented in a very succinct manner. Common procedures for correcting eyelid malposition and performing aesthetic surgery will appeal to ophthalmologists who are interested in plastics cases. Oculoplastic surgeons can review complex reconstructive and aesthetic techniques involving the periorbital brow and facial areas. Special Features Precise surgical descriptions. The authors are well recognized as leaders in ophthalmic plastic surgery.

Author Biography

Frank A. Nesi, MD
Associate Clinical Professor of Ophthal-mology and Otolaryngology
Co-Director, Oculoplastic Surgery
Kresge Eye Institute
Wayne State University School of Medicine
Detroit, Michigan
Director, Oculoplastic Surgery
Department of Ophthalmology
William Beaumont Hospital
Royal Oak, Michigan
Consultant in Ophthalmic and Facial Plastic Surgery
Southfield, Michigan

Evan H. Black, MD
Assistant Professor of Ophthalmology
Co-Director, Oculoplastic Surgery
Kresge Eye Institute
Wayne State University School of Medicine
Detroit, Michigan
Consultant in Ophthalmic and Facial Plastic Surgery
Southfield, Michigan

Brian G. Brazzo, MD
Assistant Attending Surgeon
Department of Ophthalmology
Manhattan Eye, Ear & Throat Hospital
New York, New York
Capital Eye Physicians & Surgeons
Washington, DC
Visual Freedom Center
Gaithersburg, Maryland

Geoffrey J. Gladstone, MD
Assistant Clinical Professor of Ophthal-mology and Otolaryngology
Wayne State University School of Medicine
Detroit, Michigan
Co-Director, Oculoplastic Surgery
Department of Ophthalmology
William Beaumont Hospital
Royal Oak, Michigan
Consultant in Ophthalmic and Facial Plastic Surgery
Southfield, Michigan

Shoib Myint, DO, FAACS
Associate Clinical Professor
Department of Ophthalmology
Wayne State University
Detroit, Michigan
Co-Director, Oculoplastic Surgery
Department of Ophthalmology
William Beaumont Hospital
Royal Oak, Michigan
Consultant in Ophthalmic and Facial Plastic Surgery
Southfield, Michigan

Table of Contents

Dedication	v
Acknowledgments	xi
About the Authors	xiii
Contributing Authors	xv
Preface	xvii
Essential Techniques in Ophthalmic and Facial Plastic Surgery	1	(24)
Wound Closure	1	(5)
Flaps	6	(5)
Free Skin Grafts	11	(4)
Excision of Eyelid Margin Tumors	15	(2)
Laser Principles	17	(8)
Facial Telangiectasias	21	(1)
Laser Hair Removal	22	(3)
Section I. Eyelid	25	(86)
Anatomical Correlates of Eyelid Surgery	27	(8)
Briggs E. Cook, Jr.
Mark J. Lucarelli
Suggested Reading	31	(4)
Reconstructive Techniques for Full Thickness Eyelid Defects	35	(22)
Colobomas	35	(1)
Lateral Canthotomy and Cantholysis	36	(1)
Composite Grafts	37	(2)
Semicircular Temporal Advancement Flaps	39	(1)
Tarsoconjunctival Flaps	39	(3)
Bridge Flaps	42	(3)
Mustarde' Repair for Upper Eyelid Defects	43	(2)
Temporal Advancement Flaps	45	(2)
Temporal Transposition Flaps	47	(1)
Mucous Membrane-Lined Pedicle Flaps	48	(1)
Lateral Canthal Reconstruction	49	(4)
Medial Canthal Reconstruction	53	(4)
Evaluation and Management of Eyelid Trauma	57	(8)
Repair of Eyelid Margin Lacerations: The Classic Three-Suture Technique	57	(2)
Repair of Canalicular Lacerations	59	(2)
Repair of Medical Canthal Tendon Injury	61	(4)
Management of Eyelid Paralysis	65	(6)
Gold Weight Implantation	65	(1)
Tarsorrhaphy	66	(5)
Evaluation and Management of Ptosis	71	(12)
External Levator Advancement	71	(3)
Muller's Muscle-Conjunctival Resection	74	(1)
External Levator Resection	74	(4)
Frontalis Sling	78	(5)
Classification and Treatment of Eyelid Malposition	83	(28)
Entropion Repair	83	(6)
Reattachment of the Lower Eyelid Retractors	84	(2)
Transverse Blepharotomy and Marginal Rotation	86	(1)
Suture Technique	86	(3)
Acute Spastic Entropion	89	(1)
Congenital Entropion	89	(1)
Ectropion Repair	89	(10)
Horizontal Shortening of the Lower Eyelid: The Lateral Tarsal Strip	89	(3)
Lateral Canthal Tendon Plication	92	(2)
Medial Canthal Tendon Plication	94	(2)
Cicatricial Ectropion Repair	96	(3)
Medical Ectropion Repair with Spindle Procedure	99	(1)
Eyelid Retraction	99	(7)
Upper Eyelid Retraction Repair: Anterior Approach	99	(1)
Procedure	100	(2)
Upper Eyelid Retraction Repair: Posterior Approach	102	(2)
Lower Eyelid Retraction Repair with Ear Cartilage Graft	104	(2)
Lower Eyelid Repair with Subperiosteal Midface Lift	106	(3)
Julian D. Perry
Robert A. Goldberg
John T. Tong
Suggested Reading	109	(2)
Section II. Orbit	111	(50)
Anatomical Correlates of Orbital Surgery	113	(4)
Briggs E. Cook, Jr.
Bradley N. Lemke
Mark J. Lucarelli
Suggested Reading	115	(2)
Orbital Fractures	117	(12)
Evaluation and Treatment of Orbital Fractures	117	(2)
Repair of Facial Fractures with Rigid Fixation Devices	119	(1)
Transconjunctival Approach for Repair of Blowout Fractures	120	(2)
Transcutaneous Approach for Repair of Blowout Fractures	122	(3)
Tripod Fracture Repair	125	(2)
Suggested Reading	127	(2)
Socket Repair and Reconstruction	129	(10)
Primary Procedures	129	(4)
Enucleation	129	(2)
Evisceration	131	(2)
Secondary Procedures	133	(6)
Dermis Fat Grafts	133	(2)
Mucous Membrane Grafts	135	(1)
Acellular Dermal Allograft (AlloDerm)	136	(3)
Orbital Surgery	139	(16)
John D. Siddens
Evaluation	139	(1)
Diagnosis	139	(1)
Preoperative Evaluation	140	(1)
Surgical Technique	140	(1)
Anterior Orbitotomy	141	(6)
Transcutaneous Approach	141	(1)
Transmarginal Anterior Orbitotomy	141	(2)
Transseptal Anterior Orbitotomy	143	(1)
Subperiosteal Anterior Orbitotomy	143	(2)
Transconjunctival Approach	145	(1)
Fornix Anterior Orbitotomy	145	(1)
Bulbar Conjunctival Anterior Orbitotomy	145	(2)
Lateral Orbitotomy	147	(3)
Postoperative Care	150	(1)
Complications	151	(1)
Suggested Reading	152	(3)
Orbital Decompression	155	(6)
Section III. Lacrimal System	161	(30)
Anatomical Correlates of Lacrimal Surgery	163	(6)
Briggs E. Cook, Jr.
Mark J. Lucarelli
Suggested Reading	166	(3)
Lacrimal System Disorders	169	(22)
Diagnosis	169	(1)
Probing	170	(3)
Intubation	173	(1)
Punctoplasty	173	(2)
Punctal Plugs	175	(2)
External Dacryocystorhinostomy	177	(4)
Nonlaser-Assisted Endonasal Dacryocystorhinostomy	181	(2)
Conjunctivodacryocystorhinostomy	183	(1)
Septoplasty	184	(7)
Section IV. Aesthetic Surgery	191	(60)
Anatomical Correlates of Head and Neck Surgery	193	(6)
Mark J. Lucarelli
Briggs E. Cook, Jr.
Suggested Reading	196	(3)
Evaluation of the Cosmetic Patient	199	(12)
Eyelid Surgery	211	(8)
Upper Blepharoplasty	211	(2)
Transconjunctival Lower Blepharoplasty	213	(3)
Transcutaneous Lower Blepharoplasty	216	(3)
Endoscopic Forehead Lift	219	(8)
Preoperative Evaluation	220	(1)
Anesthesia	220	(1)
Markings and Incisions	221	(1)
Endoscopic Dissection	221	(2)
Fixation	223	(1)
Postoperative Care	224	(1)
Suggested Reading	225	(2)
Rhytidectomy (Face Lift/Neck Lift)	227	(8)
Laser Resurfacing	235	(8)
Prelaser Evaluation and Management	235	(2)
Resurfacing Principles and Techniques	237	(3)
Technique	239	(1)
Postlaser Care	240	(3)
Special Techniques in Aesthetic Surgery	243	(8)
Botulinum Toxin A (Botox)	243	(2)
Dilution	243	(1)
Contraindications	244	(1)
Procedure	244	(1)
Complications	245	(1)
Collagen	245	(3)
Suggested Reading	248	(3)
Index	251