Double Elevator Palsy refers to limited elevation of one eye in adduction, primary gaze, and abduction.The term double elevator refers to both the elevators of an eye i.e. superior rectus and inferior oblique muscle. However, there are cases in which deficient elevation is produced by tight inferior rectus muscle.
The soft tissues are dissected off the deep temporal fascia using the Obwegeser periosteal elevator until the zygomaticotemporal branch of the trigeminal nerve is exposed and then is gently avulsed. The deep temporal fascia is pierced medially, immediately above the zygomatic arch, and a piece of fat is harvested to be applied in the corrugator ...
Mar 21, 2019 · Reconstruction of the zygomatic arch following injury is necessary for restoration of malar symmetry and support for the maxilla and masticatory loads. Repair of the zygomatic arch is usually performed in concert with repair of zygomaticomaxillary complex (ZMC) fracture stabilization. ... a periosteal elevator is positioned beneath the zygoma ...
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