13. Orbital floor fracture
14. Mandible fracture management
17: Upper lid blepharoplasty
13. Orbital floor fracture
p 123 , Indication
1. 3 1* surgical indication ในการ repair orbital floow
– orbital floor > 2 cm หรือ > 50% surface orbital floor
– enophthalmos > 2 mm
– incarceration or entrapment of extraocular m
2. หลายวิธีในการ approach orbital floor , 2 วิธี
– Pre-septal transconjunctivaal app c /s canthotomy
– cutaneous app
dermarres retractor
p 124 , Introduction
14. Mandible fracture management
p 133 , 24- 26- gauge wire
Erich arch bars
mandibular plating system , plates ใช้กับ 2.0 2.4-mm screws
Introduction ,
สามารถทำได้ถึง 6wk maxillomadibular fixation
intn fixation
assessment occlusion , dentition , fx mobility c bimanual manipulation
p 134 , fn mental n – ต้อง access
fx crossing – infr alv canal – neurosensory deficit – lower lip and chin
CT , panoramic x-ray , Panorex , AP View
🧨Preop Markings
17: Upper lid blepharoplasty
both – fn , aesthetic
common symp – periorbital wrinkles , redundant upper eyelid skin , low supratarsal fold , upper latr periorbital rhytids , peripheral visual field def
risk complication ก่อน ub ที่ต้อง evaluate
1. autoimmune
2. grave disease
3. eyelid inflam disorder
4. Benign essential blepharspasm
5. dry eye syndrome
specital equipment ใน tray blepharoplasty <<< dialog equipment
blade 15
caliper ทั้ง sterile and non-sterile
ใช้ ophthalmic lubricate
betadine
needle tip cautery ,
thin-tip making pen
Indication