Techniques for improved visibility and lid protection in orbital explorations

R. Dean Glassman, Paul Manson, Paul Petty, Craig Vander Kolk, Nicholas Lliff

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)69-71
Number of pages3
JournalThe Journal of craniofacial surgery
Volume1
Issue number1
StatePublished - 1990

Fingerprint

Fats
Plastics
Orbit
Cautery
Mandrillus
Prolapse
Rubber
Traction
Eyelids
Dissection
Transplants
Bone and Bones
Skin
Wounds and Injuries
Therapeutics

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 journalArticle

Glassman, RD, Manson, P, Petty, P, Vander Kolk, C & Lliff, N 1990, 'Techniques for improved visibility and lid protection in orbital explorations', The Journal of craniofacial surgery, vol. 1, no. 1, pp. 69-71.
Glassman, R. Dean ; Manson, Paul ; Petty, Paul ; Vander Kolk, Craig ; Lliff, Nicholas. / Techniques for improved visibility and lid protection in orbital explorations. In: The Journal of craniofacial surgery. 1990 ; Vol. 1, No. 1. pp. 69-71.
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