Faculty Collaboration Database

Eyelid crease incision for lateral orbitotomy. Ophthalmic Plast Reconstr Surg 1999 Jan;15(1):9-16; discussion 16-8

Date

02/09/1999

Pubmed ID

9949423

DOI

10.1097/00002341-199901000-00004

Scopus ID

2-s2.0-0032909450 (requires institutional sign-in at Scopus site)   38 Citations

Abstract

PURPOSE: The authors describe a surgical incision and technique for lateral orbitotomy that is intended to minimize visible scarring and deformity.

METHODS: This is a noncomparative, interventional, retrospective case series. Other surgical approaches for lateral orbitotomy are briefly reviewed. The authors' technique includes incision placement within the natural upper eyelid crease, with minimal extension in a relaxed skin tension line; dissection to the superior and lateral orbital rims in the submuscular plane; and wide dissection within the subperiosteal space. Criteria are described for inclusion of a bone flap in the technique.

RESULTS: The eyelid crease incision has been used for exposure of the superolateral diagonal half of the orbit in approximately 600 cases. A variety of pathologic conditions affecting the orbital bones or the subperiosteal, extraconal, or intraconal spaces have been treated. Surgical exposure has been adequate to achieve the goals of surgery in individual cases, and the cosmetic results have been preferable to those the authors achieved using other surgical incisions.

CONCLUSIONS: The eyelid crease incision for lateral orbitotomy allows dissection in relatively avascular planes, involves minimal transection of orbicularis muscle and lymphatic channels, and results in negligible postoperative scarring. Depending on the size and location of the lesion and the goal of surgery, the eyelid crease incision may be used without a bone flap. However, when a bone flap is needed, the incision does not restrict its size.

Author List

Harris GJ, Logani SC

Author

Gerald J. Harris MD Professor in the Ophthalmology and Visual Sciences department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Aged
Eyelids
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Ophthalmologic Surgical Procedures
Orbit
Orbital Diseases
Retrospective Studies
Surgical Flaps
Tomography, X-Ray Computed