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Questions and Answers

Where are the anterior ethmoid foramina located in relation to the anterior lacrimal crest?

  • Approximately 36 mm posterior
  • Approximately 12 mm posterior
  • Approximately 24 mm posterior (correct)
  • Approximately 42 mm posterior
  • What is the minimum distance between the posterior ethmoidal artery and the optic nerve?

  • 3 mm (correct)
  • 2 mm
  • 1 mm
  • 4 mm
  • What surgical technique may be prudent to perform in some cases during a coronal approach?

  • Elevation of the temporalis muscle
  • Infraorbital dissection
  • Direct elevation of the skin
  • Subperiosteal elevation of the flap (correct)
  • How far posterior is the posterior ethmoid foramen located compared to the anterior lacrimal crest?

    <p>Approximately 36 mm posterior</p> Signup and view all the answers

    Which plane is commonly used for dissection during the elevation of the flap in a coronal approach?

    <p>Subgaleal plane</p> Signup and view all the answers

    Why should an incision be avoided along the inferior orbital rim?

    <p>It creates a conspicuous scar.</p> Signup and view all the answers

    During incision line design for males with balding patterns, where might the incision be placed?

    <p>Several centimeters behind the hairline</p> Signup and view all the answers

    What is the recommended extension of the incision if more inferior exposure is needed?

    <p>Into a crow's foot wrinkle at least 6 mm above the lateral canthus.</p> Signup and view all the answers

    Which of the following structures is NOT located near the optic foramen?

    <p>Zygomatic arch</p> Signup and view all the answers

    What is the next step after undermining in the supraperiosteal plane?

    <p>Another incision through the periosteum.</p> Signup and view all the answers

    What anatomical structure is located approximately 42 mm posterior to the anterior lacrimal crest?

    <p>Optic canal</p> Signup and view all the answers

    Which instruments are predominantly used for subperiosteal dissection?

    <p>Two sharp periosteal elevators.</p> Signup and view all the answers

    What is a primary advantage of using the stepped incision technique in eyelid surgery?

    <p>It assists in maintaining eyelid position.</p> Signup and view all the answers

    What is the final step in the incision process after exposing the lateral orbital rim?

    <p>Closure in two layers: the periosteum and the skin.</p> Signup and view all the answers

    Which approach is known for creating an inconspicuous scar in upper eyelid surgery?

    <p>Supratarsal fold approach.</p> Signup and view all the answers

    Which method can help protect the cornea during surgical procedures around the orbit?

    <p>Inserting a scleral shell.</p> Signup and view all the answers

    What composes the distinct layers of the upper eyelid?

    <p>Skin, orbicularis oculi muscle, orbital septum, Müller's muscle, and conjunctiva.</p> Signup and view all the answers

    When marking the incision line for lower eyelid surgery, what should be taken into account?

    <p>The natural direction of skin creases.</p> Signup and view all the answers

    What happens if the incision deviates from the original skin crease during lower lid surgery?

    <p>It leads to a more noticeable scar.</p> Signup and view all the answers

    What happens if one remains in the subperiosteal space during surgery?

    <p>Damage to surrounding structures is unlikely.</p> Signup and view all the answers

    What is the typical placement for a subciliary incision?

    <p>Approximately 2 mm below the eyelashes.</p> Signup and view all the answers

    What is the purpose of a tarsorrhaphy suture during eyelid surgery?

    <p>To serve as a traction suture for dissection.</p> Signup and view all the answers

    What is a disadvantage of the transconjunctival approach?

    <p>It cannot access the medial third of the orbital rim.</p> Signup and view all the answers

    What could occur if one operates on edematous tissues around the orbit?

    <p>Increased risk of ocular damage.</p> Signup and view all the answers

    What structure is incised during the transconjunctival approach?

    <p>Capsulopalpebral fascia</p> Signup and view all the answers

    What is the primary function of the palpebral portions of the orbicularis oculi muscle?

    <p>To close the eye without effort, as in blinking</p> Signup and view all the answers

    In eyelid surgery, why is it important to avoid curving the incision superiorly as it extends laterally?

    <p>It can increase scarring.</p> Signup and view all the answers

    Where does the common lateral canthal tendon insert?

    <p>About 7 mm from the lateral orbital tubercle</p> Signup and view all the answers

    How much does the lower lid descend during full downward gaze?

    <p>Approximately 2 mm</p> Signup and view all the answers

    What is the purpose of placing a corneal shield during surgery?

    <p>To protect the globe from injury</p> Signup and view all the answers

    What structure does the orbital septum extend from?

    <p>The periosteum of the bones of the face and orbit</p> Signup and view all the answers

    From which side does the orbicularis oculi muscle receive innervation?

    <p>Lateral side from branches of the facial nerve</p> Signup and view all the answers

    Which step involves the injection of a vasoconstrictor?

    <p>Step 2: Vasoconstriction</p> Signup and view all the answers

    What is the function of the inferior rectus muscle concerning the lower eyelid?

    <p>It retracts the lower eyelid during gaze.</p> Signup and view all the answers

    What is a characteristic feature of the orbital septum's structure?

    <p>It varies considerably in thickness among individuals</p> Signup and view all the answers

    What aids in the correct placement of the corneal shield during surgery?

    <p>Traction sutures</p> Signup and view all the answers

    What is the marginal arcade in relation to the orbicularis oculi muscle?

    <p>A blood supply from arterial branches of the ophthalmic artery</p> Signup and view all the answers

    Which anatomical structure does the medial canthal tendon insert onto?

    <p>Nasal bones and anterior crest</p> Signup and view all the answers

    Which of the following structures is NOT involved in the transconjunctival approach?

    <p>Medial canthus</p> Signup and view all the answers

    What is the relative thickness of the orbital septum laterally compared to medially?

    <p>Thicker laterally than medially</p> Signup and view all the answers

    What is the primary structural role of the tarsal plate in the lower eyelid?

    <p>It gives form and support to the lower eyelid.</p> Signup and view all the answers

    How does the size of the inferior tarsus compare to the superior tarsus?

    <p>The inferior tarsus is considerably smaller.</p> Signup and view all the answers

    Where are the tarsal glands located within the eyelid structure?

    <p>Between layers of fibrocartilage.</p> Signup and view all the answers

    What is the function of the lateral canthal tendon?

    <p>To connect the tarsal plates of the upper and lower eyelids.</p> Signup and view all the answers

    Which of the following statements about the Meibomian glands is true?

    <p>They produce sebum and are located within the tarsal plates.</p> Signup and view all the answers

    What characteristic distinguishes the palpebral conjunctiva?

    <p>It lines the inner surface of the eyelids.</p> Signup and view all the answers

    What does the grayish line between the lashes and the openings of the tarsal glands indicate?

    <p>The junction of skin and muscle with the tarsus.</p> Signup and view all the answers

    What shape does the inferior border of the tarsus take?

    <p>Semilunar</p> Signup and view all the answers

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