Ectropion repair by medial spindle

May 16, 2019 by in Reconstructive surgery Comments Off on Ectropion repair by medial spindle

Table 26.1 Indications for surgery Vertical puncta Punctal eversion or ectropion Epiphora and foreign body sensation secondary to ectropion   Table 26.2 Preoperative evaluation Lower eyelid snap back test Lower…

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Endoscopic browplasty

May 16, 2019 by in Reconstructive surgery Comments Off on Endoscopic browplasty

Table 22.1 Indications for surgery Forehead rhytids Moderate brow ptosis Temporal hooding Facial nerve palsy with brow ptosis   Table 22.2 Preoperative evaluation Position of brow Age and gender of…

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Pretrichial browplasty

May 16, 2019 by in Reconstructive surgery Comments Off on Pretrichial browplasty

Table 23.1 Indications for surgery Forehead rhytids Brow ptosis below superior orbital rim Heavy brows with thick brow cilia Pre-existing supraciliary rhytids Paralytic eyebrow ptosis (CN VII palsy) High forehead…

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Internal browplasty

May 16, 2019 by in Reconstructive surgery Comments Off on Internal browplasty

Table 21.1 Indications for surgery Minimal eyebrow ptosis below orbital rim Prevention of eyebrow descent in conjunction with upper blepharoplasty Stabilization of eyebrow position   Table 21.2 Preoperative evaluation Position…

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Foundations of oculofacial plastic surgery

May 16, 2019 by in Reconstructive surgery Comments Off on Foundations of oculofacial plastic surgery

Introduction Oculofacial surgery is a unique specialty that combines aspects of ophthalmology, general plastic surgery, head and neck surgery, dermatology, neurological surgery, and craniofacial surgery. With advances in endoscopic and…

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Direct browplasty

May 16, 2019 by in Reconstructive surgery Comments Off on Direct browplasty

Table 20.1 Indications for surgery Brow ptosis below orbital rim causing visual obstruction Heavy brows with thick brow cilia Pre-existing supraciliary rhytids Paralytic eyebrow ptosis (CN VII palsy)   Table…

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Upper eyelid loading with platinum weight

May 16, 2019 by in Reconstructive surgery Comments Off on Upper eyelid loading with platinum weight

Table 19.1 Indications for surgery Paralytic lagophthalmos Exposure keratopathy CN VII palsy Symptomatic dry eye   Table 19.2 Preoperative evaluation Bell’s phenomenon Degree of lagophthalmos Corneal epithelial staining Orbicularis strength…

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Frontalis suspension with silicone rod

May 16, 2019 by in Reconstructive surgery Comments Off on Frontalis suspension with silicone rod

Table 15.1 Indications for surgery Poor levator function ptosis, <5 mm Myogenic ptosis • Congenital ptosis • Double elevator palsy • Blepharophimosis • Congenital fibrosis syndrome • Chronic progressive external ophthalmoplegia…

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Upper eyelid retraction repair

May 16, 2019 by in Reconstructive surgery Comments Off on Upper eyelid retraction repair

Table 17.1 Indications for surgery Upper eyelid retraction • Associated with thyroid-related orbitopathy • After upper eyelid ptosis repair, blepharoplasty, or brow lifting • After trauma   Table 17.2 Preoperative…

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