Plastics Flashcards
What r findings of blepharophimosis?
Ptosis
Epicanthus inversus
Telecanthus
Autos dominant
Blepharophimosis consists of what findings?
What systemic issue is associated?
Blepbarophimosis
Ptosis
Telecanthus
Epicanthus inversus
Premature ovarian failure
How far behind globe does ophth art enter optic nerve?
13 mm
Volume of orbit
Other dimensions?
30cc
40mm wide
35mm tall
45 mm deep
What goes thru sup orb fis
CN 3, 4, V1
Sup oph vein
Sympathetic to iris dilator
(NOT V2 which goes thru foremen rotundum)
Where do sinuses drain? Frontal Ethmoid Sphenoid Maxillary
Ethmoid- superior
Sphenoid- spheno-ethmoid recess
Maxillary and frontal- middle
NasoLacrimal - inferior
Innervation of lacrimal gland?
Cn5 sensory
Cn7 secretomotor
Sympathetic - sup cerv gang
Describe medial canthal attachments
Anterior limb
- passes in front of lac sac
- attaches to frontal process of maxillary bone and ant lacrimal crest
Posterior limb
- attached posterior lac crest
- goes behind lac sac
- function = apposition to globe
Vascular supply to upper and lower lids
Upper
-INternal carotid to ophthalmic art to superior marginal arcade
Lower
-EXTErnal carotid to facial art to angular art to inferior marginal arcade (6-8mm medial to medial can thus and posterior to orbicularis, 5mm anterior to lacrimal sac)
If u find skin Capillary hemangioma, what test should u order?
Bleeding time, clotting studies
Kassabach-Merritt assoc w consumptive coagulopathy
Orbital roof bones
Frontal
Lesser wing sphenoid
Orbital floor bones
Maxillary
Zygomatic
Palatine
Lateral wall bones
Zygomatic
Greater wing sphenoid
Medial wall bones
Sphenoid
Max
Ethmoid
Lacrimal