mm for septum Videos (Page 3) - HiFiMov.co

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This is Richard Allen at the University of Iowa.This video demonstrates placement of a silicone frontalis sling in a child with a history of unilateral congenital ptosis, s/p failure of a previous levator resection.The 15 blade is used to make an incision along the eyelid crease through the skin and orbicularis muscle.Dissection is then carried out with a needle tip cautery through the orbital septum to visualize the preaponeurotic fat.Westcott scissors are then used to incise the septum

Silicone frontalis sling for congenital ptosis

⏲ 2 min 26 sec ✓ 02-Sep-2015

Tronderose

SEPTUM STRETCHING from 1,6mm to 6mm (14g to 2g)

⏲ 4 minutes 35 seconds 👁 19.3K

This is Richard Allen at the University of Iowa. This video demonstrates a pretrichial browplasty with upper eyelid blepharoplasty. The blepharoplasty markings are incised with the monopolar cautery. This could also be performed with a 15 blade or laser. A flap of skin and orbicularis muscle is removed.If desired, a skin only blepharoplasty could be performed with conservation of the orbicularis muscle. The orbital septum will be opened medially and the medial fat pad will be conservatively ex

Pretrichial Browplasty

⏲ 3 min 11 sec ✓ 02-Apr-2015

This is Richard Allen at the University of Iowa. This video demonstrates an external levator advancement in a pediatric patient.A 15 blade is used to make an incision through the skin and orbicularis muscle.The monopolar cautery is then used to dissect further though the orbicularis muscle until the orbital septum is identified.The orbital septum in children is very thick.It can at time be difficult to find the preaponeurotic fat due to the thick orbital septum and one should take his or

Pediatric levator advancement

⏲ 2 min 66 sec ✓ 27-Mar-2015

This is Richard Allen at the University of Iowa.This video demonstrates a subperiosteal midface lift using drill holes through the inferior orbital rim.A lateral canthotomy and inferior cantholysis are performed.4-0 Silk sutures are then placed through the lower eyelid at the level of the meibomian gland orifices in order to provide traction during the case.A transconjunctival incision is then made with the monopolar cautery inferior to the inferior border of the tarsus extending from th

Drill Hole Midface Lift

⏲ 3 min 54 sec ✓ 09-Jul-2015

This is Richard Allen at the University of Iowa.This video demonstrates the use of an ear cartilage graft to address lower eyelid retraction.4-0 silk sutures are placed through the lower eyelid at the level of the meibomian glands in order to provide traction during the case.The needle tip cautery is then used to make a subciliary incision extending from the lateral cantus laterally to the punctum medially.Dissection is then carried out between the orbicularis muscle and orbital septum i

Lower lid elevation with ear cartilage graft

⏲ 4 min 13 sec ✓ 02-Sep-2015

This is Richard Allen at the University of Iowa. This video demonstrates a small incision browplasty with upper eyelid blepharoplasty.The dissection performed in this case is the same as that for an endoscopic browplasty, but without the endoscope.An incision is made along the blepharoplasty markings with a monopolar cautery, and a flap of skin and orbicularis muscle are removed. Medially the orbital septum is opened and the medial fat pad is identified and mobilized. This fat pad is conserv

Small Incision Browplasty

⏲ 4 min 50 sec ✓ 02-Apr-2015

This is Richard Allen at the University of Iowa.This video demonstrates placement of a mucous membrane graft for recreation of the lower fornix in an anophthalmic patient.4-0 silk sutures are placed through the lid margin at the level of the meibomian gland orifices.A lateral canthotomy is performed followed by an inferior cantholysis.A monopolar cautery is then used to make an incision inferior to the inferior border of the tarsus, extending from the punctum medially to the lateral cant

Mucous membrane graft for lower fornix reconstruction

⏲ 2 min 29 sec ✓ 02-Sep-2015

This is Richard Allen at the University of Iowa.This video demonstrates repair of a full-thickness lower lid defect with a Hughes flap and a skin graft.Examination of the defect shows that it involves approximately 75% of the lower eyelid.Dissection is carried out inferiorly between the orbital septum and the orbicularis muscle to the inferior orbital rim.The inferior orbital rim and lateral orbital rim are exposed.Dissection is carried out inferior to the inferior orbital rim in a pre

Hughes flap with skin graft..

⏲ 2 min 58 sec ✓ 24-Oct-2015

This is Richard Allen at the University of Iowa. This video demonstrates placement of a bilateral supramid sling in an 8 month old patient with blepharophimosis epicanthus inversus syndrome.Three stab incisions are made above the brow, one corresponding to the medial canthus, one the lateral canthus and one half way between these two 1 cm above them. These are then bluntly dissected open with a hemostat. An incision is then made along the proposed eyelid crease with the 15 blade.Dissection i

Pediatric Bilateral frontalis sling

⏲ 1 min 79 sec ✓ 27-Mar-2015

This is Richard Allen at the University of Iowa. This video demonstrates the repair of the entire lower eyelid. The patient is s/p a Mohs excision of a basal cell carcinoma. The lower canaliculus is involved. A Crawford stent is introduced into the cut end of the lower canaliculus, down the nasolacrimal duct, and retrieved from the nose. The other end of the Crawford stent is then placed through the upper system and retrieved from the nose. Attention is then directed to the defect. Examination s

Repair of 100% lower eyelid defect

⏲ 4 min 61 sec ✓ 24-Oct-2015

This is Richard Allen at the University of Iowa.This video demonstrates repair of a lateral full-thickness eyelid defect involving approximately 50% of the eyelid using a free tarsal graft and periosteal strip.This defect could also be repaired with a Hughes flap, but there are disadvantages to the Hughes flap in some instances. A subciliary incision is made extending from the punctum medially to the defect laterally.Dissection is then carried out between the orbicularis muscle and the o

Repair of 50% lateral full-thickness lower eyelid defect

⏲ 3 min 80 sec ✓ 02-Sep-2015

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