Surgical Anatomy of the Ocular Adnexa: A Clinical Approach

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Cary, North Carolina, U.S.A. 1996 Softcover New New.

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Surgical Anatomy of the Ocular Adnexa is a beautifully and thoughtfully illustrated anatomical text that provides the ophthalmic surgeon or any surgeon working in the eyelid/orbital region with detailed yet concise, easy to read and understand descriptions of the anatomy in any particular region of the eyelid, orbit or nasolacrimal system. Throughout the text are clinical pearls and vignettes to help the reader appreciate why certain anatomical features are important to understand. Key anatomical concepts are highlighted and easy to visualize with real cadaver photos as well as the artists rendition of the same region.

This book:

- Develops a thorough understanding of the anatomy in the eyelid, orbit, nasolacriaml and periocular regions.
- Fosters an appreciation of how knowledge of the anatomy leads to a better understanding of the pathophysiology of various disease processes involving the eyelid, orbit, nasolacrimal and periocular region.
- Conveys the importance of anatomy in the surgical approach to various disease processes in the eyelid, orbit, nasolacrimal and periocular regions.

This second edition will be an invaluable guidel to all those working in the eyelid, orbital, and nasolacrimal areas including residents, fellows and staff in ophthalmology, otolaryngology/head and neck surgery, plastic surgery and neurosurgeons working in and around the orbit.

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Editorial Reviews

Thoroughly discusses eyelid, orbital, and nasolacrimal anatomy, and shows how knowledge of that anatomy leads to better comprehension of the pathophysiology of various disease processes and how such knowledge is important in determining surgical approach. Illustrated with bright, clear photos and drawings. Annotation c. Book News, Inc., Portland, OR (
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Product Details

Meet the Author

David R. Jordan M.D., F.A.C.S., F.R.C.S.C. is Professor of Ophthalmology at the University of Ottawa Eye Institute. Louise Mawn M.D., F.A.C.S is Associate Professor of Ophthalmology and Neurological Surgery at the Vanderbilt Eye Institute, Vanderbilt University Medical Center. Richard Anderson M.D., F.A.C.S is Professor and Chief of the Division of Ophthalmic Plastic and Facial Cosmetic surgery, The University of Utah, and Medical Director, Oculoplastic Surgery, Inc. and The Center for Facial Appearances, Salt Lake City.

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Table of Contents


1-1 Forehead
1-1.1 Eyebrows
1-1.2 Forehead Musculature and Galea Aponeurotica
1-1.3 Brow Motility and the Brow Fat Pad (ROOF)

1-2 Temporal Region Anatomy, Superficial temporal Artery and Seventh Nerve
1-2.1 Superficial temporal region
1-2.2 Superficial Temporal Artery and Vein
1-2.3 Seventh nerve
1-3 Upper Eyelid
1-3.1 Surface Anatomy of Eyelids
1-3.2 Internal Anatomy
1-3.3 Canthal Tendons
1-3.4 Orbital Septum
1-3.5 Nerves
1-3.6 Blood Vessels
1-3.7 Preaponeurotic fat
1-3.8 Levato Muscle and Whitnall's Ligament
1-3.9 Mueller's Muscle
1-3.10 Tarsal Plate
1-3.11 Eyelid Margin
1-4 Lower Eyelid and The Eyelid Cheek Junction Area
1-4.1 Tarsal Plate
1-4.2 Orbital Septum and Preaponeurotic fat
1-4.3 Capsulopalpebral Fascia, Lower Lid retractors and Lockwood's Ligament
1-4.4 Sympathetic Muscle Fibers
1-4.5 Nerves
1-4.6 Blood vessels
1-4.7 The Lower Eyelid Cheek Junction: superficial musculoaponeurotic system (SMAS), orbital malar liagament (OML), malar fat and suborbicularis oculus fat (SOOF)
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2-1 Overview of Orbit
2-2 Orbital Walls
2-2-1 The Orbital Roof
2-2-2 The Lateral Wall
2-2-3 The Orbital Floor
2-2-4 The Medial Wall
2-3 Sphenoid Bone and Intracranial Compartments
2-4 Aperatures
2-4-1 Optic Foramen
2-4-2 Superior Orbital Fissure
2-4-3 Meningeal Foramen (Foramen of Hyrtl)
2-4-4 Inferior Orbital Fissure
2-5-5 Zygomatic Canal
2-4-6 Infraorbital Canal
2-4-7 Infraorbital Foramen
2-4-8 Nasolacrimal Canal
2-4-9 Ethmoidal Foramina
2-5 Orbital Margin (Orbital Rim)
2-6 Surgical Approaches
2-6-1 Medial Orbital Approach
2-6-2 Lateral orbital Approach
2-6-3 Inferior orbital Approach Suggested Readings


3-1 Overview of Orbital Connective Tissue
3-2 Tenon's Capsule
3-3 Anterior Orbital Connective Tissue Framework
3-4 Posterior Connective Tissue Framework Suggested Readings


4-1-1 Rectus Muscles
4-1-2 Oblique Muscles
4-2 Orbital Course of the Extraocular Muscles
4-3 Insertions
4-3-1 Rectus Muscles
4-3-2 Oblique Muscles
4-4 Nerves and Vessels
4-5 Actions
4-6 Accessory Extraocular Muscles Suggested Readings


5-1 Overview of Orbital Nerves
5-2 Optic Nerve
5-3 Oculomotor Nerve
5-3-1 Superficial Origin
5-3-2 Intracranial Course
5-3-3 Intraorbital Course
5-4 Trochlear nerve
5-4-1 Superficial Origin
5-4-2 Intracranial Course
5-4-3 Intraorbital Course
5-5 Trigeminal Nerve
5-5-1 Superficial Origin
5-5-2 Intracranial Course
5-5-3 Intraorbital Course of Ophthalmic Division
5-5-4 Intraorbital Course of Maxillary Division
5-5-5 The Mandibular branch of the Trigeminal
5-6 Abducens Nerve
5-6-1 Superficial Origin
5-6-2 Intracranial Course
5-6-3 Intraorbital Course
5-7 Facial Nerve
5-8 Autonomic Nerves
5-8-1 Parasympathetic Fibers
5-8-2 Sympathetic Fibers Suggested Readings


6-1 Arterial System
6-1-1 Ophthalmic Artery
6-1-2 Lacriaml Artery
6-1-3 Supraorbital Artery
6-1-4 Ethmoidal Ateries
6-1-5 Supratrochlear Artery
6-1-6 Dorsonasal Artery
6-1-7 Palpebral Arteries
6-1-8 Anastomotic Channels between External and Internal Carotid Systems
6-2 Venous System
6-2-1 Superior Ophthalmiv Vein (SOV)
6-2-2 Inferior Ophthalmic Vein (IOV)
6-2-3 Central Vein
6-2-4 Anterior Venous Pathways
6-2-5 Cavernous Sinus
6-3 Lymphatic System
6-3-1 Orbital Lymphatics
6-3-2 Lymphatics within the Eye Suggested Readings


7-1 The Secretory System
7-1-1 Lacrimal Gland Anatomy
7-1-2 The Accessory Lacrimal Glands
7-1-3 The Tear Film
7-2 The Lacrimal Drainage System
7-2-1 Lacrimal Puncta
7-2-2 Lacrimal Canaliculi
7-2-3 Lacrimal Sac
7-2-4 Nasolacrimal Duct
7-3 Basic Nasal Anatomy Suggested Readings


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