Local flaps for facial coverage
Synopsis ▪ Always consider the defect when planning a flap. ▪ Assess availability and laxity of local tissue. ▪ Rob Peter to pay Paul but only if Peter can afford…
Cleft palate
Synopsis ▪ Normal speech is the primary goal of cleft palate repair; minimizing effects of maxillary growth is also important but ultimately secondary. ▪ Cleft palate repair prior to 1…
Facial injuries
Synopsis ▪ The teachings of John Converse, Nicholas Georgiade, and Reed Dingman provided the benchmark for an entire generation of surgeons in facial injury repair. ▪ The treatment concepts discussed…
Liposuction and fat grafting
Synopsis ■ Incorporation of a diet and exercise program in conjunction with liposuction will allow patients to achieve their optimal shape and contour. Patients who do not adhere to diet…
Rhinoplasty
Synopsis Open rhino ■ Accurate preoperative analysis and clinical diagnosis set the foundation for successful primary open rhinoplasty. ■ Open rhinoplasty allows anatomic exposure, identification, and correction of nasal deformities….
Enucleation and orbital implant placement
Table 73.1 Indications for surgery Blind and painful eye Sympathetic ophthalmia prophylaxis after uveal prolapse Intraocular malignancy (e.g. choroidal melanoma, retinoblastoma) Phthisis bulbi with disfigurement and blind eye from multiple…
Evisceration with orbital implant placement
Table 72.1a Indications for surgery Blind, painful eye Intractable endophthalmitis or corneal ulceration with no visual potential Anterior ruptured globe with no visual potential Table 72.1b Contraindications for surgery…
Multidisciplinary management of orbital varix
Table 76.1 Indication for surgery Removal of a residual and retro-trochlear varix in the anterior orbit Table 76.2 Preoperative evaluation Clinical evaluation with emphasis on identifying the character of…
Orbital exenteration
Table 74.1 Indications for surgery Malignant primary orbital tumors Malignant eyelid and ocular adnexal tumors with orbital extension Malignant orbital tumors extending from the cranium or paranasal sinuses Malignant intraocular…
