By Gerald J. Harris MD FACS
This full-color atlas is a realistic, step by step consultant to the reconstruction of periocular defects following tumor excision or tissue-loss trauma. The publication addresses the categorical anatomic issues in every one oculofacial area with adapted surgical rules and methods designed to enhance aesthetic outcomes.
Full-color illustrations with precise explanatory legends depict every one step of every surgical process. Flap layout and mobilization are proven without delay on surgical images, instead of in idealized drawings. The transparent, available writing kind will attract ophthalmic and plastic surgeons, non-ophthalmic surgeons, and non-surgical ophthalmic specialists.
A significant other web 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
46. 46 A two-thirds lower eyelid defect repaired with a free tarsal graft from the ipsilateral upper eyelid and a horizontally oriented lower eyelid skin flap. By not occluding the palpebral fissure, the procedure benefits patients with better vision in the operated eye. It does not provide countertraction against gravitational and cicatricial forces, which may lead to ectropion or scleral show. 47 The risk of late ectropion when using a free tarsal graft may be reduced if the anterior lamella is replaced with a flap anchored to lateral orbital rim periosteum (asterisk).
A, B. Advanced basal cell carcinoma and post-Mohs defect involving the entire lower tarsus, part of the lower retractor complex, the lower limb of the lateral canthal tendon, and the skin of the lower eyelid, lateral canthus, and outer upper eyelid. A relaxing incision began at the superior pole of the defect within the upper eyelid and continued laterally to the hairline. After advancement and anchoring of the temple/cheek flap, a residual superomedial skin defect was resurfaced with a graft from the left upper eyelid (see Chapters 3 and 5 for a discussion of anchored cheek and temple flaps).
60). 59. 61 A. 59. B. The patient 6 months after surgery, showing the conjunctival aspect of the reconstructed right upper eyelid (see Fig. 62). 61, 6 months after right upper eyelid reconstruction. 63 A 76-year-old man referred with a right upper eyelid lesion of 6 months' duration. Biopsy revealed Merkel cell tumor. A, B. Mohs resection included the central half of the tarsus, to within 2 to 3 mm of its upper border. C. Reconstruction involved a reverse Hughes flap from the lower eyelid and a free tarsal graft from the left (contralateral) upper eyelid (see Fig.