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Interdisciplinary Management of Orbital Diseases: Textbook and Atlas [Kõva köide]

  • Formaat: Hardback, 354 pages, kõrgus x laius: 229x311 mm, kaal: 1448 g, illustrations
  • Ilmumisaeg: 12-Jul-2017
  • Kirjastus: Thieme Publishing Group
  • ISBN-10: 3131994215
  • ISBN-13: 9783131994219
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  • Formaat: Hardback, 354 pages, kõrgus x laius: 229x311 mm, kaal: 1448 g, illustrations
  • Ilmumisaeg: 12-Jul-2017
  • Kirjastus: Thieme Publishing Group
  • ISBN-10: 3131994215
  • ISBN-13: 9783131994219
Teised raamatud teemal:
The successful evaluation and treatment of the orbital region-subject to a wide range of diseases affecting multiple organ systems-entails the knowledge and expertise of a multidisciplinary team of specialists. Interdisciplinary Management of Orbital Diseases: Textbook and Atlas brings this team together to offer comprehensive and authoritative discussion of all diseases of the orbital region, with descriptions of topographic and surgical anatomy, pathology, diagnostic steps, imaging, conservative treatment measures, operative approaches, radiotherapy, and orbital reconstruction. Readers will find key information for diagnosing conditions early and achieving maximum therapeutic and aesthetic results.Key Features:- Valuable guidance from leading specialists in otorhinolaryngology, craniomaxillofacial surgery, ophthalmology, neurosurgery, endocrinology, and other relevant fields- Coverage of the spectrum of orbital pathologies and diseases, including congenital malformations and

posttraumatic deformities, orbital and skull base tumors and inflammation, sinus complications, thyroid eye disease, and more- Useful details on patient examination, surgical techniques and pitfalls, and postoperative management aid in daily practice- More than 650 full-color photographs and illustrations that allow for rapid learning and application of concepts- Videos accessed through Thieme MediaCenter that enhance understanding of surgical proceduresInterdisciplinary Management of Orbital Diseases: Textbook and Atlas is an important addition to the armamentarium of otolaryngologists, craniomaxillofacial surgeons, ophthalmologists, and neurosurgeons. Clinicians at all levels, and residents and fellows, will gain the interdisciplinary perspective crucial for handling the complexities of the orbital region.
Videos xi
Preface xii
Contributors xiii
1 Topographical Anatomy of the Orbit 1(18)
A. Schmiedl
1.1 Introduction
2(1)
1.2 Shape, Borders, Orifices, and Topographical Relations
2(3)
1.2.1 Bony Orbital Walls
2(1)
1.2.2 Orbital Foramina
3(2)
1.2.3 Topographic Relations of the Orbit
5(1)
1.3 Protective Apparatus of the Eye
5(2)
1.3.1 Orbital Septum
5(1)
1.3.2 Eyelids
5(2)
1.3.3 Lacrimal Apparatus
7(1)
1.4 Contents of the Orbit
7(7)
1.4.1 Classification
7(1)
1.4.2 Connective Tissue Structures
8(2)
1.4.3 Pars Bulbosa and Bulbus Oculi
10(2)
1.4.4 Topography and Function of Outer Eye Muscles
12(2)
1.5 Topography of Pathways Located Postseptally
14(4)
1.5.1 Topographic Relations to the Common Anular Tendon of Zinn
14(1)
1.5.2 Extraconal Pathways in the Upper Compartment
14(1)
1.5.3 Intiaconal Pathways (Medial Compartment)
15(2)
1.5.4 Extraconal Pathways (Lower Compartment)
17(1)
1.5.5 Secretory, Parasympathetic Innervation of the Lacrimal Gland
18(1)
References
18(1)
2 Pathophysiological Aspects of the Orbit 19(8)
H.J. Welkoborsky
T. Kraft
2.1 Introduction
20(1)
2.2 The Orbit as a Closed Bony Compartment
20(1)
2.3 Intraorbital Inflammation
21(2)
2.4 Increased Intraorbital Pressure
23(1)
2.5 Pathophysiology of Orbital Trauma
24(1)
2.5.1 Direct and Indirect Orbital Trauma
24(1)
2.5.2 Avulsion Trauma of the Optic Nerve
25(1)
References
25(2)
3 Clinical Examination in Patients with Orbital Diseases 27(18)
3.1 Ophthalmologic Examinations
28(7)
B. Wiechens
S. Behrendt
3.1.1 Introduction
28(1)
3.1.2 Case History
28(1)
3.1.3 Inspection
28(1)
3.1.4 Palpation
29(1)
3.1.5 Visual Acuity Test
29(1)
3.1.6 Slit-lamp Biomicroscopy of the Anterior Segment of the Eye
30(1)
3.1.7 Auscultation
30(1)
3.1.8 Exophthalmometry
31(1)
3.1.9 Tonometry
31(1)
3.1.10 Motility Testing
32(1)
3.1.11 Ophthalmoscopy
32(1)
3.1.12 Perimetry
33(1)
3.1.13 Pupil Examination
34(1)
3.1.14 Ocular and Orbital Echography
34(1)
3.1.15 Fluorescein and Indocyanine Green Angiography; Spectral Domain Optical Coherence Tomography
35(1)
3.1.16 Visual Evoked Potentials (VEP)
35(1)
3.1.17 Biopsy
35(1)
3.2 ENT Examinations
35(10)
S. Crab
H.J. Welkoborsky
3.2.1 Embryology of the Orbit and the Eye and of Its Related Adnexa
35(1)
3.2.2 Patient's History
36(1)
3.2.3 Clinical Examination
36(3)
3.2.4 Instrument-Based Diagnostics
39(4)
References
43(1)
Suggested Further Reading
43(2)
4 Imaging of the Orbit 45(22)
4.1 Introduction
46(1)
4.2 Conventional Radiography
46(1)
A. Pangalu
A. Valavanis
4.3 Computed Tomography (CT)
46(6)
A. Pangalu
A. Valavanis
4.3.1 Radiological Anatomy
46(1)
4.3.2 Orbital Trauma
46(1)
4.3.3 Tumors
47(5)
4.4 Magnet Resonance Imaging (MRI)
52(6)
A. Pangalu
A. Valavanis
4.4.1 Anatomy
52(1)
4.4.2 Inflammatory Diseases
52(2)
4.4.3 Tumors
54(4)
4.5 Positron Emission Tomography (PET)
58(1)
A. Pangalu
A. Valavanis
4.6 Interventional Neuroradiology of Orbital Diseases
59(1)
A. Pangalu
A. Valavanis
4.7 Ultrasonography of the Orbit
59(8)
H.J. Welkoborsky
4.7.1 Technical Conditions for Orbital Ultrasound
61(1)
4.7.2 Ultrasound Anatomy
61(2)
4.7.3 Ultrasound Examination of Particular Orbital Diseases
63(3)
References
66(1)
5 Diseases of the Eyelids and the Eye 67(18)
5.1 Diseases of the Eyelids
68(2)
B. Wiechens
M.A. Varde
5.1.1 Inflammatory Diseases
68(1)
5.1.2 Malignant Tumors of the Eyelids
68(2)
5.2 Diseases of the Eye
70(9)
B. Wiechens
5.2.1 Glaucoma
70(4)
5.2.2 Corneal Diseases
74(5)
5.3 Occlusion of Intraocular and Intraorbital Vessels
79(6)
B. Wiechens
5.3.1 Vascular Occlusions of the Retina and the Optic Nerve
80(1)
5.3.2 Arterial Vascular Occlusions of the Retina/Choroid (Central Retinal Artery, Branch Retinal Artery, and Ophthalmic Artery Occlusion)
80(1)
5.3.3 Venous Retinal Vascular Occlusions (Central Retinal Vein, Hemicentral Retinal Vein, and Branch Retinal Vein Occlusion)
81(1)
5.3.4 Anterior Ischemic Optic Neuropathy (Nonarteritici Arteritic)
82(1)
5.3.5 Occlusion of Intraorbital Vessels
83(1)
References
83(1)
Suggested Further Reading
84(1)
6 Orbital Complications 85(14)
S. Crab
H.J. Welkoborsky
6.1 Introduction
86(1)
6.2 Intraorbital Hemorrhages
86(2)
6.2.1 latrogenic Hemorrhage due to Endonasal Surgery of the Sinuses
86(1)
6.2.2 Bleeding into the Orbit as a Result of Trauma
87(1)
6.3 Orbital Complications of Acute Sinusitis
88(2)
6.3.1 Pathogenesis
88(1)
6.3.2 Phases of Orbital Complications
88(1)
6.3.3 Therapy
89(1)
6.4 Orbital Complications of Other Cause
90(4)
6.4.1 Orbital Emphysema
90(1)
6.4.2 Dysthyroid Optic Neuropathy
91(1)
6.4.3 Dentogenic Abscesses
91(1)
6.4.4 Infection of the Cheek Skin
92(1)
6.4.5 Dacryoadenitis
92(1)
6.4.6 Insect Bites
93(1)
6.4.7 Allergic Diseases
93(1)
6.4.8 Conjunctivitis
94(1)
6.4.9 An Unusual Cause for an Orbital Complication
94(1)
6.5 Summary
94(1)
6.6 Special Features of Orbital Complications in Children
94(2)
References
96(3)
7 Endocrine Orbitopathy 99(28)
7.1 Etiology and Pathogenesis
100(1)
George J. Kahaly
7.1.1 Etiology
100(1)
7.1.2 Pathogenesis
100(1)
7.2 Clinical and Laboratory Investigations
101(3)
George J. Kahaly
7.2.1 Clinical Investigations
101(2)
7.2.2 Laboratory Examinations and Medical Imaging
103(1)
7.2.3 Clinical Recommendations for Practical Use
104(1)
7.3 Ophthalmological Findings and Complications
104(3)
M.A. Varde
B. Wiechens
7.3.1 Classification of Findings
104(1)
7.3.2 Dry Eye Syndrome
105(1)
7.3.3 Lid Retraction
105(1)
7.3.4 Indicators for Clinical Activity
105(1)
7.3.5 Exophthalmos
105(1)
7.3.6 Lagophthalmos
106(1)
7.3.7 Ptosis
106(1)
7.3.8 Exposure Keratopathy
106(1)
7.3.9 Strabismus
106(1)
7.3.10 Compressive Optic Neuropathy
107(1)
7.3.11 Glaucoma
107(1)
7.4 Therapy
107(20)
7.4.1 Immunosuppressive Therapy
107(2)
George J. Kahaly
7.4.2 Radiotherapy of Endocrine Orbitopathy
109(4)
H. Christiansen
R.M. Hermann
7.4.3 Orbital Decompression
113(7)
H.J. Welkoborsky
7.4.4 Eyelid Surgery in Endocrine Orbitopathy
120(3)
M.A. Varde
B. Wiechens
References
123(4)
8 Traumatology and Traumatic Optic Neuropathy 127(18)
C. Deichmueller
H.J. Welkoborsky
8.1 Introduction
128(1)
8.2 Patient History
128(1)
8.3 Clinical Examination
128(1)
8.4 Instrumental Diagnostics
128(1)
8.5 Symptoms
128(1)
8.6 Orbital Soft Tissue Injuries
129(1)
8.6.1 Lacerations
129(1)
8.6.2 Orbital Foreign Bodies
130(1)
8.7 Orbital Wall Fractures
130(3)
8.7.1 Medial Orbital Wall Fracture
130(1)
8.7.2 Lateral Orbital Wall Fracture and Zygomatic Fracture (Lateral Midfacial Fracture)
130(3)
8.8 Isolated Orbital Floor Fractures
133(3)
8.8.1 Blow-out Fracture
133(2)
8.8.2 Blow-in Fractures
135(1)
8.9 Orbital Roof
136(1)
8.9.1 Orbital Roof Fractures
136(1)
8.10 Combined Fractures
137(1)
8.10.1 Combined Fractures of Midface, Bony Orbit, and Skull Base
137(1)
8.11 Injuries of the Optic Nerve
138(2)
8.11.1 Traumatic Optic Neuropathy (TON)
138(2)
8.12 Orbital Injuries in Children
140(1)
8.12.1 Orbital Fractures
140(1)
References
141(4)
9 Pathology of the Orbit 145(30)
L. Wilkens
9.1 Introduction
146(1)
9.1.1 General
146(1)
9.1.2 Observations on Classification
146(1)
9.2 Inflammations
147(1)
9.2.1 Acute Inflammations
147(1)
9.2.2 Chronic Inflammations
147(1)
9.3 Systemic Diseases Involving the Orbit
148(1)
9.4 Neoplasias (Arranged Topographically)
148(25)
9.4.1 Tumors of the Optic Nerve
148(3)
9.4.2 Tumors of the Conjunctiva and Caruncula
151(5)
9.4.3 Tumors of the Eyelids
156(8)
9.4.4 Tumors of the Lacrimal Glands
164(2)
9.4.5 Tumors of the Lacrimal Duct System
166(1)
9.4.6 Tumors of the Soft Tissue of the Orbit
166(5)
9.4.7 Tumors of the Eyeball
171(2)
Suggested Further Readings
173(2)
10 Orbital Malformations 175(12)
Paul Schumann
Harald Essig
Martin Rucker
10.1 Congenital Orbital Malformations
176(5)
10.1.1 Hypertelorism
176(1)
10.1.2 Hypotelorism
176(1)
10.1.3 Cyclopia and Synophthalmia
176(1)
10.1.4 Anophthalmia and Microphthalmia
176(1)
10.1.5 Facial Clefts
177(1)
10.1.6 Craniosynostoses
177(1)
10.1.7 Syndromes of the First and Second Branchial Arches
178(3)
10.2 Acquired Orbital Malformations
181(3)
10.2.1 Trauma-Induced Orbital Malformations
181(1)
10.2.2 Tumor-Induced Orbital Deformities
182(2)
References
184(3)
11 Tumors of the Orbit and the Eye 187(22)
11.1 Malignant Tumors of the Eye
188(9)
B. Wiechens
11.1.1 Tumors of the Eye with Potential Orbital Involvement
188(4)
11.1.2 Intraocular Metastases
192(5)
11.2 Tumors of the Lacrimal Glands and Lacrimal Ducts
197(1)
H.J. Welkoborsky
11.2.1 Tumors of the Lacrimal Glands
197(1)
11.2.2 Tumors of the Lacrimal Ducts
198(1)
11.3 Tumors of the Sinuses with Spread to the Orbit
198(6)
H.J. Welkoborsky
11.3.1 Symptoms
199(1)
11.3.2 Pseudo Tumors
199(2)
11.3.3 Benign Tumors of the Paranasal Sinuses with Orbit Involvement
201(1)
11.3.4 Malignant Tumors of the Paranasal Sinuses with Orbit Involvement
202(1)
11.3.5 Infiltration of the Orbit
203(1)
11.3.6 Treatment of Malignant Tumors
203(1)
11.3.7 Prognosis
204(1)
References
204(4)
Suggested Further Readings
208(1)
12 Tumors of the Fronto-orbital Skull Base, the Optic Nerves, and the Intracranial Optic Pathways 209(10)
I.E. Sandalcioglu
U. Sure
12.1 Introduction
210(1)
12.2 Meningiomas of the Frontal Skull Base and the Orbit
210(1)
12.3 Malignant Tumors of the Frontal Skull Base and the Orbit
210(3)
12.4 Gliomas of the Optic Nerves and the Intracranial Optic Pathways
213(1)
12.5 Vascular Malformations
214(1)
12.6 Miscellaneous Lesions
215(2)
References
217(2)
13 Intraconal Orbital Tumors 219(11)
Michael L. Hinni
Devyani Lal
Karel De Leeuw
13.1 Introduction
220(1)
13.2 Anatomy
220(1)
13.3 Evaluation/Diagnosis
220(1)
13.4 Classification of Tumors
221(2)
13.5 Orbital Neoplasia
223(2)
13.5.1 Benign Lesions
223(1)
13.5.2 Primary Malignant Tumors
223(2)
13.6 Secondary Orbital Tumors
225(1)
13.6.1 Esthesioneuroblastoma
225(1)
13.6.2 Nasopharyngeal Carcinoma
226(1)
13.6.3 Metastatic Tumors
226(1)
13.7 Surgical Approaches to the Orbit
226(1)
13.8 Conclusion
227(1)
References
227(3)
14 Radiotherapy of Orbital Diseases
H. Christiansen
R.M. Hermann
14.1 Introduction
230(1)
14.2 Technique
230(3)
14.2.1 Percutaneous Radiotherapy (External Beam Radiotherapy)
230(3)
14.3 Radiotherapy of Malignant Neoplasias of the Orbit
233(10)
14.3.1 Metastases in the Area of the Orbit
233(3)
14.3.2 Orbit Lymphomas
236(2)
14.3.3 Uveal Melanomas
238(4)
14.3.4 Retinoblastoma
242(1)
14.4 Radiotherapy of Benign Diseases of the Orbit
243(4)
14.4.1 Optic Nerve Meningiomas
243(1)
14.4.2 Idiopathic Inflammation of the Orbit
243(1)
14.4.3 Choroidal Hemangiomas
244(1)
14.4.4 Pterygium
245(1)
14.4.5 Age-Related Macular Degeneration
246(1)
14.5 Radiogenic Side Effects and Toxicities in the Orbit Area
247(9)
14.5.1 Eyelid
247(1)
14.5.2 Tear Ducts
248(1)
14.5.3 Conjunctiva
248(1)
14.5.4 Cornea
248(1)
14.5.5 Iris
248(1)
14.5.6 Lens
249(1)
14.5.7 Retina
249(1)
14.5.8 Optic Nerve
249(1)
14.5.9 Radiogenic Tumor Induction
250(1)
References
250(5)
15 Surgery of the Lacrimal Drainage System 255(20)
15.1 Anatomy, Clinical Evaluation, and Treatment of Common Lacrimal Drainage Disorders
256(7)
M.A. Varde
B. Wiechens
15.1.1 Anatomical Considerations
256(1)
15.1.2 Examination of the Lacrimal Pathway
256(1)
15.1.3 Congenital NLDO
257(4)
15.1.4 Acquired Lacrimal Stenoses
261(2)
15.2 Endoscopic Dacryocystorhinostomy
263(12)
Andreas Neumann
Mauricio Lopez-Chacon
Manuel Bernal-Sprekelsen
15.2.1 Introduction
263(1)
15.2.2 Etiology of Obstructions of the Lacrimal Pathways
264(1)
15.2.3 Preoperative Diagnosis
264(1)
15.2.4 Surgical Technique of DCR
265(3)
15.2.5 Alternative Procedures
268(1)
15.2.6 Follow-up
269(1)
15.2.7 Stenting
269(1)
15.2.8 Complications
269(1)
15.2.9 Results
270(1)
References
270(5)
16 Lid Surgery in Orbital Disorders 275(18)
M. A. Varde
B. Wiechens
16.1 Anatomy
276(1)
16.2 Traumatology
276(5)
16.2.1 Case History
276(1)
16.2.2 Examination
277(1)
16.2.3 Diagnostic Measures
278(1)
16.2.4 Surgical Treatment of Lid Injuries
279(2)
16.3 Reconstruction of Eyelid Defects
281(7)
16.3.1 Reconstruction of Defects of the Anterior Lamella of the Periorbital Region
281(1)
16.3.2 Reconstruction of Full-Thickness Defects of the Lower Lid
282(2)
16.3.3 Reconstruction of the Upper Lid
284(3)
16.3.4 Reconstruction of the Lateral Canthus
287(1)
16.3.5 Reconstruction of the Medial Canthus
287(1)
16.4 Facial Nerve Palsy
288(2)
16.4.1 Temporary Facial Palsy
288(1)
16.4.2 Persistent Facial Palsy
289(1)
16.5 Cicatricial Ectropion, Cicatricial Entropion, Cicatricial Lagophthalmos
290(2)
References
292(1)
17 Anesthesiological Aspects of Orbit Surgery 293(12)
Jan-Peter A.H. Jantzen
Bernd Schwefler
17.1 Introduction
294(1)
17.2 Clinical Anatomy
294(1)
17.3 Clinical Physiology
294(2)
17.3.1 Hemodynamics
294(1)
17.3.2 Intracranial Pressure
294(1)
17.3.3 Intraocular Pressure
295(1)
17.4 Clinical Pharmacology
296(2)
17.4.1 Sedatives
296(1)
17.4.2 Hypnotics
296(1)
17.4.3 Inhalational Anesthetics
297(1)
17.4.4 Analgesics
297(1)
17.4.5 Muscle Relaxants
297(1)
17.5 Clinical Anesthesiology
298(5)
17.5.1 Preoperative Preparation
298(1)
17.5.2 PONV
298(1)
17.5.3 Securing the Airway
299(1)
17.5.4 Positioning
299(1)
17.5.5 Ventilation
300(1)
17.5.6 Hemodynamic Management
300(1)
17.5.7 Temperature Management
301(1)
17.5.8 Monitoring
301(1)
17.5.9 Emergence and Postoperative Period
302(1)
17.5.10 Neuroprotection
302(1)
References
303(2)
18 Surgical Approaches to the Orbit 305(18)
18.1 Introduction
306(1)
Welkoborsky
18.2 Endonasal Transethmoidal Approach (Medial Orbitotomy)
306(1)
H.J. Welkoborsky
18.2.1 Indications
306(1)
18.2.2 Procedure
306(1)
18.2.3 Complications
307(1)
18.3 Transantral Approach
307(1)
H.J. Welkoborsky
18.3.1 Indications
307(1)
18.3.2 Procedure
307(1)
18.3.3 Complications
308(1)
18.4 Lateral Orbitotomy
308(2)
H.J. Welkoborsky
18.4.1 Indications
308(1)
18.4.2 Procedure
308(1)
18.4.3 Complications
309(1)
18.5 Anterior Orbitotomy
310(6)
B. Wiechens
18.5.1 Transpalpebral Approach
310(2)
18.5.2 Transconjunctival Approach
312(2)
18.5.3 Advantages and Disadvantages of the Transconjunctival vs. Transpalpebral Approach
314(2)
18.6 Transcranial Extradural and Intradural Approaches
316(2)
I.E. Sandalcioglu
U. Sure
18.6.1 Introduction
316(1)
18.6.2 Frontolateral Craniotomy (Pterional Craniotomy)
316(1)
18.6.3 Frontal Unilateral Craniotomy (Subfrontal Approach)
317(1)
18.6.4 Supra-orbital "Keyhole Approach"
317(1)
18.6.5 Bifrontal Craniotomy
317(1)
18.7 Orbital Exenteration
318(3)
H.J. Welkoborsky
18.7.1 Enucleation
318(1)
18.7.2 Orbital Exenteration
318(3)
References
321(1)
Suggested Further Readings
322(1)
19 Reconstructive Orbital Surgery 323(10)
N.C. Gellrich
M. Rana
19.1 Introduction
324(1)
19.2 Principles of Orbital Reconstruction
324(1)
19.3 Summary History of the Development Reconstructive Orbital Surgery
324(1)
19.4 Shape and Volume Reconstruction of the Orbit
325(1)
19.5 Digital 3D Analysis and Virtual Models
326(3)
19.6 Individualization of Implant Materials for Orbital Reconstruction
329(1)
19.7 Restitution of the Medial Telecanthus Using the Hammer Technique
329(2)
References
331(1)
Suggested Further Readings
332(1)
Index 333

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