By Brian Leatherbarrow
Oculoplastic surgical procedure, moment version has been thoroughly revised and up-to-date to mirror the advances made within the box because the hugely profitable first version. This new version deals a realistic method of the prognosis and administration of sufferers with quite a lot of oculoplastic, orbital, and lacrimal difficulties, with an emphasis on investigations, surgical symptoms, and demanding technical issues. Key beneficial properties comprise: • New fabric on utilized anatomy, plastic surgery, thyroid eye sickness and the watering eye • An in-depth account of the pre-operative evaluation of sufferers, unique info of surgeries, the post-operative administration of sufferers and the avoidance of problems • Over 1700 colour images and unique drawings This lavishly illustrated new version is a necessary learn for ophthalmologists, and likewise serves as a complete and necessary textual content for clinicians of all grades and event in comparable specialties together with: cosmetic surgery, maxillofacial surgical procedure, ENT surgical procedure, dermatology, radiology, and neurosurgery.
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Additional info for Oculoplastic Surgery, Second Edition
A GP discharge letter should also be dictated following the completion of surgery and a copy given to the patient. 37 (A) The Z-plasty is marked out based on the vertical scar and the scar is excised. (B) The flaps are dissected. (C) The flaps are transposed. 38 (A) A ‘bow stringed’ external DCR scar marked with double Z-plasty incisions. (B) The skin of the bridge of the nose stretched to demonstrate the positions of the incision marks. (C) The Z-plasty flaps have been transposed and sutured. 39 (A) A dog-ear deformity.
The patient should be instructed on the use of postoperative wound massage with Lacrilube ointment. This reduces wound edema, softens scars, and prevents wound contracture (Figs. 42). 41 (A) Right lower eyelid retraction following wound repair in a child. (B) Satisfactory position of lower eyelid after 3 months of regular massage. 42 (A) Periocular scarring and a left lower eyelid retraction following a poor repair of irregular lacerations in a young adult. (B) Appearances after 3 months of regular wound massage.
12. Parkin B, Manners R. Aspirin and warfarin therapy in oculoplastic surgery. Br J Ophthalmol 2000; 84: 1426–7. 13. Sherman DD, Dortzbach RK. Monopolar electrocautery dissection in ophthalmic plastic surgery. Ophthal Plast Reconstr Surg 1993; 9: 143–7. 14. Sierra CA, Nesi FA, Levine MR: Basic wound repair: surgical techniques, flaps and grafts. In: Levine MR, ed. Manual of Oculoplastic Surgery. Boston, MA: Butterworth- Heinemann, 2003: 23–9. 15. Tandara AA, Mustoe TA. The role of the epidermis in the control of scarring: evidence for mechanism of action for silicone gel.