Abstract
Visualization during exploration of the orbit is hampered by herniation of orbital fat around the malleable retractor in posterior orbital dissection. A thin stiff disc of plastic sheeting, placed between the dissected orbital soft tissue contents and the malleable retractor, redu¬ces prolapse of fat around the edges of the orbital retractor. The technique is utilized in acute fracture treatment and in late orbital reconstruction. The malleable retractor, placed below the plastic disc, may be easily taken in and out of the orbit with reduced damage of fat and enhanced visualization. Retractor damage to fat is reduced and visualization enhanced. The plastic sheet may be inserted over an intact posterior bony “ledge” in floor fractures, allowing accurate placement of bone grafts under direct visualization. Additionally, the use of a segment of flexible rubber sheeting sewed over a subciliary incision mar¬gin reduces traction injury, drill and cautery damage to eyelid skin.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 69-71 |
| Number of pages | 3 |
| Journal | The Journal of craniofacial surgery |
| Volume | 1 |
| Issue number | 1 |
| State | Published - 1990 |
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Keywords
- Diplopia
- Enoph-thalmos
- Orbital dissection
- Plastic sheeting
ASJC Scopus subject areas
- Otorhinolaryngology
- Surgery
Cite this
Techniques for improved visibility and lid protection in orbital explorations. / Glassman, R. Dean; Manson, Paul; Petty, Paul; Vander Kolk, Craig; Lliff, Nicholas.
In: The Journal of craniofacial surgery, Vol. 1, No. 1, 1990, p. 69-71.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Techniques for improved visibility and lid protection in orbital explorations
AU - Glassman, R. Dean
AU - Manson, Paul
AU - Petty, Paul
AU - Vander Kolk, Craig
AU - Lliff, Nicholas
PY - 1990
Y1 - 1990
N2 - Visualization during exploration of the orbit is hampered by herniation of orbital fat around the malleable retractor in posterior orbital dissection. A thin stiff disc of plastic sheeting, placed between the dissected orbital soft tissue contents and the malleable retractor, redu¬ces prolapse of fat around the edges of the orbital retractor. The technique is utilized in acute fracture treatment and in late orbital reconstruction. The malleable retractor, placed below the plastic disc, may be easily taken in and out of the orbit with reduced damage of fat and enhanced visualization. Retractor damage to fat is reduced and visualization enhanced. The plastic sheet may be inserted over an intact posterior bony “ledge” in floor fractures, allowing accurate placement of bone grafts under direct visualization. Additionally, the use of a segment of flexible rubber sheeting sewed over a subciliary incision mar¬gin reduces traction injury, drill and cautery damage to eyelid skin.
AB - Visualization during exploration of the orbit is hampered by herniation of orbital fat around the malleable retractor in posterior orbital dissection. A thin stiff disc of plastic sheeting, placed between the dissected orbital soft tissue contents and the malleable retractor, redu¬ces prolapse of fat around the edges of the orbital retractor. The technique is utilized in acute fracture treatment and in late orbital reconstruction. The malleable retractor, placed below the plastic disc, may be easily taken in and out of the orbit with reduced damage of fat and enhanced visualization. Retractor damage to fat is reduced and visualization enhanced. The plastic sheet may be inserted over an intact posterior bony “ledge” in floor fractures, allowing accurate placement of bone grafts under direct visualization. Additionally, the use of a segment of flexible rubber sheeting sewed over a subciliary incision mar¬gin reduces traction injury, drill and cautery damage to eyelid skin.
KW - Diplopia
KW - Enoph-thalmos
KW - Orbital dissection
KW - Plastic sheeting
UR - http://www.scopus.com/inward/record.url?scp=0025242535&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0025242535&partnerID=8YFLogxK
M3 - Article
C2 - 2088565
AN - SCOPUS:0025242535
VL - 1
SP - 69
EP - 71
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
SN - 1049-2275
IS - 1
ER -