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  • AOCMF (22 24 Nov, Jakarta)

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    AOCMF(22 24 Nov,Jakarta)

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    AOCMF(22 24 Nov,Jakarta)

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    AOCMF(22 24 Nov,Jakarta)

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    © All Rights Reserved
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    34 views45 pages

    AOCMF (22 24 Nov, Jakarta)

    Uploaded by

    mia rachmi
    AOCMF(22 24 Nov,Jakarta)

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
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    2 AOCMF Mai Book AOCMF Advances Course on Condyle, Midface and Orbit Reconstruction with Anatomical Specimens November 22 - 24, 2013, Jakarta, Indonesia Superolateral orbital rim Overview ‘There are two periorbital approaches to the superolatral rim ofthe orbit: ‘A. Lateral eyebrow approach —(supraorbital eyebrow approach) B._Upper-eyelid approach (upper blepharoplasty or Supratasal fold approach) ‘The appropriate choice of approach may vary, depending on tradition in different geographic Access area ‘The Lateral eyebrow approach gives rather limited access to zygomaticofrontal process and the immediate vicinity of suture line (superolateral orbital rim). ‘The brow skin is thick and the wound edges are not very yielding to retraction but the overall skin mobility allows the shifting of the wound pocket over the bony surface, thus somewhat increasing the field of exposure by varying the traction vector. The entry into the superolateral internal orbit is very restricted and it is difftult to gain much exposure of the sphenozygomatic suture line. A lateral extension ofthe incision outside the brow to widen the approach will cause conspicuous scarring. Inferior extensions will cross the relaxed skin tension lines (RSTL). The upper-eyelid or upper blepharoplasty approach offers greater versatility and enhanced accessibility to the superolatera rim compared to the lateral eyebrow approach. The sof tissues of the upper lid are thin, resilient, so that the incision site ean be easily maneuvered onto the bony surfaces. In addition the incision can be extended Taterally across the lateral orbital rim above the Tateralcanthus insertion without aesthetic

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