Advertisement

Modification of Orbital Osteotomy in Midfacial Advancement

  • Emil W. Steinhäuser
Conference paper

Abstract

In surgical correction of hypertelorism and also in Le Fort III osteotomies, which are carried out through a coronal incision, the osteotomy line is usually in the middle of the orbital funnel. When the osteotomy of the medial orbital wall is taken down to the orbital floor the nasolacrimal apparatus can be identified; in most instances the detachment of the medial canthal ligaments is also performed at that time. Since the lateral canthal ligament also has to be severed during the subperiostal dissection of the orbital content, the two can-thai tendons are then no longer supported on the orbital walls (Fig. 1).

Keywords

Orbital Floor Orbital Wall Infraorbital Nerve Lacrimal Duct Medial Orbital Wall 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Converse JM (1966) Traumatic deformities of the medial canthus. Plast Reconstr Surg 38:147–162PubMedCrossRefGoogle Scholar
  2. Converse JM (1977) Reconstructive plastic surgery, vol 4. Saunders, PhiladelphiaGoogle Scholar
  3. Jackson I, Munrol, SalyerK, Whitaker L (1982) Atlas of craniomaxillofacial surgery. Mosby, St. LouisGoogle Scholar
  4. Freihofer HP (1980) Experiences with transnasal cantho-pexy. J Maxillofac Surg 8:119–124PubMedCrossRefGoogle Scholar
  5. Tessier P, Guiot G, Delbet JP, Pastoriza J (1967) Ostéotomies cranio-naso-orbito-faciales: Hypertélorisme. Ann Chir Plast 12:104–118Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • Emil W. Steinhäuser
    • 1
  1. 1.ErlangenGermany

Personalised recommendations