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OverviewThis full-color book provides detailed and succinct information on orbital disease, its evaluation, and management Surgical Atlas of Orbital Diseases provides in simplified form the fundamentals of oculoplastic and orbit care by synthesizing advances in imaging, pathology, and genetics. It will serve a wide audience, including medical students, residents, and fellows in oculoplastic and orbital medicine. Features: Emphasis on common disorders, but also presents information on uncommon conditions backed up by case illustrations Covers most of the common and some of the rare causes of proptosis Includes an interactive DVD of procedures Full-color illustrations Case presentations Provides practical knowledge in clinical situations Full Product DetailsAuthor: Subrahmanyam MallajosyulaPublisher: McGraw-Hill Education - Europe Imprint: McGraw-Hill Medical Dimensions: Width: 22.10cm , Height: 2.20cm , Length: 28.50cm Weight: 1.446kg ISBN: 9780071634267ISBN 10: 0071634266 Pages: 392 Publication Date: 16 October 2009 Audience: Professional and scholarly , Professional & Vocational Format: Hardback Publisher's Status: Out of Print Availability: Awaiting stock ![]() Table of ContentsContents Part One : Basic Concepts 1.Applied Anatomy of Orbit03 Mark J Lucarelli, Nancy Kim 2.Clinical Approach to Proptosis23 Subrahmanyam Mallajosyula Pain 23; Progression 25; Proptosis 28; Axial proptosis 29; Measurement of proptosis 35; Pulsations 37; Pupil 41; Perception of color vision 41; Prism bar-cover test (PBCT) 42; Periorbital changes 45; Lid changes 46; Conjunctival changes 48; Palpation 51; Auscultation 51; Evaluation of a case of proptosis 53 3.Imaging a Case of Proptosis: CT and MRI56 Subrahmanyam Mallajosyula, Ravi Varma Evaluation of a CT scan of orbit 58; Common mistakes 59; Bony orbit 60; Eyeball 65; Enlarged extraocular muscle 69; Soft-tissue lesions 72; Lacrimal gland tumors 76; Cystic lesions of the orbit 78; Metastatic lesions 81; Contrast enhancement 83; 3-D reconstruction of the orbit 84 4.Role of Cytology in Orbital Lesions85 Geeta K Vemuganti, Anirban Bhaduri Fine needle aspiration/sampling techniques 85; Intraoperative-operative diagnosis by squash and imprint cytology 85; Squash/imprint cytology 85; Case illustrations 86 5.Pathology of the Orbital Diseases 97 KS Ratnakar Classification 97; Diagnosis of orbital tumors 98; Developmental lesions 98; Inflammatory lesions 100; Orbital infections 101; Cysticercosis 102; Neoplastic lesions 102; Benign tumors 103; Malignant tumors 104; Metastasis 105; Grave's disease 106; Mucocele 106 Part Two : Disease Patterns of Proptosis 6.Thyroid-Associated Orbitopathy111 Peter J Dolman Incidence and epidemiology 112; Risk factors and predictive variables 112; Pathogenesis 112; Course of disease 114; Clinical classification 114; The VISA classification 114; Vision/optic neuropathy 114; Inflammation/congestion 116; Strabismus/motility restriction 117; Appearance/exposure 117; General management guidelines 118 7.Orbital Infections120 Shome debraj, Walinjkar Jaydeep, Mukherjee Angshuman Risk factors 121; Etiological causes of orbital infections 121; Bacterial infections 121; Fungal infections 121; Parasitic infections 121; Protozoal infections 121; Diagnosis 121; Imaging studies 121; Emergency department care 122; Further inpatient care 122; Case illustrations 123 8.Orbital Inflammatory Disease128 E Ravindra Mohan, Moupia Goswami, Vinathi Mutyala Orbital amyloidosis 129; Sarcoidosis 130; Nonspecific orbital inflammatory syndrome (NSOIS) 131; Kimura's disease 132; Wegener's granulomatosis 132; Langerhan's histiocytosis 133; Rosai-Dorfman disease 133; Orbital xanthogranuloma 134; Case illustrations 134 9.Orbital Lymphoma146 Christopher Knapp, Ram Vaidhyanath, Laurence Brown, Raghavan Sampath REAL classification 146; WHO classification of NHL 146; Modified Rye's classification of Hodgkin's lymphoma 147; When to suspect lymphoma 147; When to suspect idiopathic orbital inflammatory disease 148; Case illustrations 148 10.Vascular Lesions of Orbit151 Subrahmanyam Mallajosyula, Mohd Javed Ali Malformations 151; Lymphangioma 151; Orbital varices 152; Cavernous hemangioma 152; Other congenital malformations 152; Sturge-Weber syndrome 152; Wyburn-Mason syndrome 153; Klippel-Trenaunay syndrome 153; Shunts 153; Carotid-Cavernous fistula 153; New growths 154; Capillary hemangioma 154; Hemangiopericytoma 155; Angiosarcoma 155; Kaposi's sarcoma 155; Hemangioendothelioma 155; Hemangioblastoma 155; Case illustrations 157 11.Orbital Tumors of Neurological Origin162 Christopher M Knapp, Ram Vaidhyanath, Laurence Brown, Raghavan Sampath Optic nerve glioma 162; Optic nerve meningioma 163; Orbital schwannoma (neurilemmoma) and neurofibroma 165; Case illustrations 166 12.Mesenchymal Tumors170 E Weis, J Rootman Mesenchymal soft tissue tumors 170; Rhabdomyosarcoma 170; Rhabdomyoma 172; Leiomyoma 172; Leiomyosarcomas 172; Adipose tumors 172; Liposarcoma 174; Fibrous tissue tumors 174; Histiocytic tumors 175; Fibrous histiocytoma 175; Malignant tumors of uncertain type 175; Rhabdoid tumor 175 13.Bone Tumors of Orbit180 Venkatesh C Prabhakaran, Dinesh Selva Clinical presentation 180; Osteoma 180; Fibrous dysplasia 181; Ossifying fibroma 182; Osteoblastoma 183; Chondroma 183; Cholesterol granuloma 184; Aneurysmal bone cyst 184; Giant cell lesions 184; Osteogenic sarcoma 184; Chondrosarcoma 186; Mesenchymal chondrosarcoma 186; Ewing's sarcoma 186; Langerhan's cell histiocytosis (LCH) 186; Intraosseous hemangioma 186 14.Tumors of Lacrimal Gland 190 Raman Mittal Classification 190; Epithelial cyst (Dacryops) 190; Case illustrations 191; Pleomorphic adenoma 191; Adenoid cystic carcinoma 194 15.Cystic lesions of Orbit199 Golam Haider, Subrahmanyam Mallajosyula, Mohd Javed Ali Classification 199; Dermoid and epidermoid cysts 200; Teratomas 201; Cephalocele 201; Microphthalmos with cyst 202; Mucocele 202; Cysts of the optic nerve sheath 203; Hematic cyst 203; Simple cyst 204; Retention cyst 204; Lacrimal ductal cyst 204; Implantation cyst 205; Dacryocele 205 16.Parasitic Cysts of Orbit207 Subrahmanyam Mallajosyula, Mohd Ather, Modini Pandarpurkar Cysticercosis 207; Case illustrations 208; Hydatid cyst of orbit 217 17.Orbital Fractures 220 Alon Kahana, Mark J Lucarelli, Cat N Burkat, Richard K Dortzbach Introduction 220; Anatomy 220; Imaging 226; Implant materials 227; General operative considerations 229; Pediatric patients 231; Timing of surgery 231; Decision: repair or not repair 232; Floor fractures 233; Medial wall fractures 236; Lateral wall and zygomatico maxillary fractures 238; Late and secondary fracture repair 238 18.Secondary and Metastatic Orbital Tumors244 Kasturi Bhattacharjee, Harsha Bhattacharjee, Ganesh Kuri, Shyamanga Borooah Orbital extension of intraocular tumors 244; Orbital extension of retinoblastoma 244; Orbital extension of medulloepithelioma 246; Orbital extension of uveal melanoma 247; Orbital extension of lacrimal sac tumors 250; Orbital extension of eyelid tumors 252; Basal cell carcinoma (BCC) 252; Sebaceous carcinoma of the eyelid 253; Squamous cell carcinoma of the eyelid 255; Malignant melanoma of eyelid 256; Orbital extension of intracranial tumors 257; Orbital extension of conjunctival tumors 258; Squamous cell carcinoma of the conjunctiva 258; Malignant Melanoma of the conjunctiva 259; Orbital extension of tumors of the nasal cavity and paranasal sinus 260; Orbital extension of nasopharyngeal tumor 262; Metastatic orbital tumors 263 Part Three : Management Strategies: Surgical 19.Decision Making271 Subrahmanyam Mallajosyula Intraconal lesion 273; Reese-Berke's incision 273; Steps of Reese-Berke approach 274; Steps of superior lidcrease incision 275; Apical conal lesions 279; Lesions of superior peripheral space 279; Thyroid associated orbitopathy 285 20.Orbitotomies288 Ramesh Murthy, Anirban Bhaduri, Vikas Menon, Santosh G Honavar General principles 288; Approaches 289; Anterior orbitotomy 289; Swinging lower eyelid flap 289; Lateral orbitotomy 290; Stallard-Wright lateral orbitotomy 290; Transfrontal orbitotomy 291; Complications 291; Postoperative management 291; Case illustrations 291 21.Multidisciplinary Approach to Proptosis299 Subrahmanyam Mallajosyula, B Ranganadha Reddy, M Chandrasekhar Reddy Surgical anatomy 299; ENT approach to proptosis 300; Various etiological factors of proptosis in ENT 300; Sinus diseases causing proptosis 301; Purulent infections 301; Extensive nasal polyposis 301; Mucormycosis 301; Allergic fungal sinusitis 301; Fronto- ethmoidal mucocele 302; Tumors of paranasal sinuses causing proptosis 302; Fibrous dysplasia 302; Hemangiopericytoma 302; Juvenile nasopharyngeal angiofibroma 303; Squamous cell carcinoma 303; Rhabdomyosarcoma 303; Non-Hodgkin's lymphoma 303; Esthesio-neuroblastoma 304; Caldwell-Luc operation 304; Lateral rhinotomy/medial maxillectomy 305; Total maxillectomy 306; Patterson's operation 305; FESS 309; Neurosurgical approaches of proptosis 309; Transcranial approach 311; Extracranial approach 309; Case illustrations 313 22.Orbital Exenteration318 Ramesh Murthy, Anirban Bhaduri, Sima Das, Santosh G Honavar Indications 318; Patient preparation 318; Surgical procedure 318; Types 319; Management of the exenterated socket 320; Prosthesis 320; Complications of exenteration 320; Case illustrations 321 23.Orbital Prosthesis327 Kuldeep Raizada Types of prosthesis 327; Complete prosthesis 327; Factors that affect the fit of an orbital prosthesis 328; Preparation of the patient 328; Impression of the orbital defect 328; Casting 329; Sculpting 329; Moulding 330; Using the desired material 331; Fabrications of ocular prosthesis 331; Assemble of prosthesis 331; Care of your prosthesis 331; Storing the prosthesis 332; Preventing mishaps 333 Part Four : Management Strategies: Nonsurgical 24.Medical Management of Proptosis337 Subrahmanyam Mallajosyula, Mohd Javed Ali Nonspecific inflammations of the orbit (NSOIS) 337; Specific inflammations of the orbit 338; Orbital cellulitis 338; Rhino-orbital mucormycosis 338; Chronic granulomatous infections 338; Parasitic infestations 338; Tolosa- Hunt syndrome 339; Capillary hemangioma 339; Acute intraorbital hemorrhage and emphysema 340; lymphoprolifarative and other neoplastic lesions 340; Case illustrations 340 25.Management of Ophthalmic Tumors: Role of Chemotherapy and Radiation Therapy344 Vijay Anand P Reddy, Nitin More, Ramesh Murthy, Anirban Bhaduri, Santosh G Honavar Introduction 344; Ionizing radiation 344; Radiation therapy delivery methods 344; External beam radiation (teletherapy) 344; Internal radiation therapy (brachy therapy) 345; Plaque radiotherapy 346; Principles of anti-neoplastic therapy 347; Capillary hemangioma 348; Basal cell and squamous cell carcinoma 348; Tumors of lacrimal gland 348; Malignant conjunctival tumors 349; Intraocular lymphoma 349; Retinoblastoma 349; Choroidal melanomas 349; Chemoreduction regimen 350; Oculor metastasis 352; Rhabdomyosarcoma 352; Orbital lymphoma 352; Grave's ophthalmopathy 353; Optic nerve glioma 353; Optic nerve meningioma 353; Sequelae of radiation therapy 353 26.Carotid-Cavernous Fistulae: Role of Interventional Radiologist356 D Ravi Varma, D Radhika Varma Pathophysiology 357; Clinical features 357; When to suspect CCF 359; Radiological investigations 359; Management of CCF 360; Direct CCF 360; Indirect CCF 363; Prognosis 363 27.Ocular and Systemic Associations of Proptosis366 Subrahmanyam Mallajosyula, Mohd Javed Ali Capillary hemangiomas 366; Neurofibromatosis 366; Craniofacial dysostosis 367; Encephalocele 367; Wegener's granulomatosis 367; Wyburn-Mason syndrome 367; Hurler's syndrome 368; Nonspecific orbital inflammation syndrome 368; Sclerosing inflammation of the orbit 368; Osteoma 368; Orbital hamartoma (tuberous sclerosis) 368; Hemangioblastom 368 Index 369ReviewsAuthor InformationSubrahmanyam Mallajosyula, MS, MD, is a member of the board of studies in ophthalmology for the NTR University of Health Sciences and the Chairman, Academic Research Committee, Andhra Pradesh Ophthalmic Society, India. 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