Anatomía de la órbita: estructuras en detalle y zonas de riesgo para procedimientos en la práctica dermatológica

  • Alejandra Toquica
  • Juan Camilo Barrera
  • Álvaro Acosta
Palabras clave: Ácido hialurónico, Anatomía, Complicaciones, Órbita, Toxina botulínica

Resumen

El conocimiento preciso de la anatomía de la órbita es importante para la realización de procedimientos quirúrgicos y no quirúrgicos o mínimamente invasivos en dermatología.

Al ser una región facial con una red vascular compleja, dependiente del sistema carotídeo externo e interno, debe ser abordada de forma cautelosa, teniendo en cuenta las zonas de riesgo para complicaciones.

Biografía del autor/a

Alejandra Toquica

Clínica de Piel – Grupo Dermatología Oncológica. Instituto Nacional de Cancerología, Bogotá, Colombia.

Juan Camilo Barrera

Profesor Titular del Departamento de Medicina Interna. Universidad Nacional de Colombia, Bogotá, Colombia.

Álvaro Acosta

Profesor Titular del Departamento de Medicina Interna. Universidad Nacional de Colombia, Bogotá, Colombia. Clínica de Piel – Grupo Dermatología Oncológica. Instituto Nacional de Cancerología, Bogotá, Colombia.

Citas

1. Sun MT, Wu A, Figueira E, Huilgol S, Selva D. Management of periorbital basal cell carcinoma with orbital invasion. Future Oncol. 2015;11(22):3003-10. https://doi.org/10.2217/fon.15.190
2. Iuliano A, Strianese D, Uccello G, Diplomatico A, Tebaldi S, Bonavolontà G. Risk factors for orbital exenteration in periocular Basal cell carcinoma. Am J Ophthalmol. 2012;153(2):238-41.e1. https://doi.org/10.1016/j.ajo.2011.08.004
3. Furdova A, Lukacko P. Periocular Basal Cell Carcinoma Predictors for Recurrence and Infiltration of the Orbit. J Craniofac Surg. 2017;28(1):e84-e7. https://doi.org/10.1097/SCS.0000000000003242
4. McCord, CD CM (editores). Eyelid and periorbital surgery. 2.a edición. Nueva York, Estados Unidos: Thieme Medical Publishers, Inc.; 2016.
5. Neimkin MG, Holds JB. Evaluation of Eyelid Function and Aesthetics. Facial Plast Surg Clin North Am. 2016;24(2):97-106. https://doi.org/10.1016/j.fsc.2015.12.002
6. George RM, Singer R. The lines and grooves of the face: a suggested nomenclature. Plast Reconstr Surg. 1993;92(3):540-2. https://doi.org/10.1097/00006534-199309000-00027
7. Frieberg T. [Participation of the lacrimal sac and lacrimal caruncle in the mechanism of lacrimation]. Ophthalmologica. 1951;122(4):193-206. https://doi.org/10.1159/000301061
8. Van Cruchten S, Vrolyk V, Perron Lepage MF, Baudon M, Voute H, Schoofs S, et al. Pre- and Postnatal Development of the Eye: A Species Com parison. Birth Defects Res. 2017;109(19):1540-67. https://doi.org/10.1002/bdr2.1100
9. Ha RY, Nojima K, Adams WP, Brown SA. Analysis of facial skin thickness: defining the relative thickness index. Plast Reconstr Surg. 2005;115(6):1769-73. https://doi.org/10.1097/01.prs.0000161682.63535.9b
10. Kim YS, Hwang K. Shape and Height of Tarsal Plates. J Craniofac Surg. 2016;27(2):496-7. https://doi.org/10.1097/SCS.0000000000002369
11. Mojallal A, Cotofana S. Anatomy of lower eyelid and eyelid-cheek junction. Ann Chir Plast Esthet. 2017;62(5):365-74. https://doi.org/10.1016/j.anplas.2017.09.007
12. Putterman AM, Urist MJ. Surgical anatomy of the orbital septum. Ann Ophthalmol. 1974;6(3):290-4.
13. Ng SK, Chan W, Marcet MM, Kakizaki H, Selva D. Levator palpebrae superioris: an anatomical update. Orbit. 2013;32(1):76-84. https://doi.org/10.3109/01676830.2012.736602
14. Putterman AM, Urist MJ. Müller muscle-conjunctiva resection. Technique for treatment of blepharoptosis. Arch Ophthalmol. 1975;93(8):619-23. https://doi.org/10.1001/archopht.1975.01010020595007
15. Kanagalingam S, Miller NR. Horner syndrome: clinical perspectives. Eye Brain. 2015;7:35-46. https://doi.org/10.2147/EB.S63633
16. Kakizaki H, Zhao J, Nakano T, Asamoto K, Zako M, Iwaki M, et al. The lower eyelid retractor consists of definite double layers. Ophthalmology. 2006;113(12):2346-50. https://doi.org/10.1016/j.ophtha.2006.06.017
17. Hwang SH, Hwang K, Jin S, Kim DJ. Location and nature of retro-orbicularis oculus fat and suborbicularis oculi fat. J Craniofac Surg. 2007;18(2):387-90. https://doi.org/10.1097/scs.0b013e31802e2a70
18. Leatherbarrow B, Jones PF. Oculoplastic Surgery. 3.a edición. Nueva York, Estados Unidos: Thieme Medical Publishers Inc.; 2019.
19. Chen W. Occuloplastic Surgery. The Essentials. Nueva York, Estados Unidos: Thieme Medical Publishers; 2001.
20. Levine MR, Allen RC. Manual of Oculoplastic Surgery. 5.a edición. Springer International Publishing; 2018.
21. Hwang K, Joong Kim D, Chung RS. Pretarsal fat compartment in the lower eyelid. Clin Anat. 2001;14(3):179-83. https://doi.org/10.1002/ca.1030
22. Sires BS, Lemke BN, Dortzbach RK, Gonnering RS. Characterization of human orbital fat and connective tissue. Ophthalmic Plast Reconstr Surg. 1998;14(6):403-14. https://doi.org/10.1097/00002341-199811000-00004
23. Kruglikov I, Trujillo O, Kristen Q, Isac K, Zorko J, Fam M, et al. The Facial Adipose Tissue: A Revision. Facial Plast Surg. 2016;32(6):671-82. https://doi.org/10.1055/s-0036-1596046
24. Cotofana S, Lachman N. Anatomy of the Facial Fat Compartments and their Relevance in Aesthetic Surgery. J Dtsch Dermatol Ges. 2019;17(4):399-413. https://doi.org/10.1111/ddg.13737
25. Ghavami A, Pessa JE, Janis J, Khosla R, Reece EM, Rohrich RJ. The orbicularis retaining ligament of the medial orbit: closing the circle. Plast Reconstr Surg. 2008;121(3):994-1001. https://doi.org/10.1097/01.prs.0000299941.62645.4e
26. Erdogmus S, Govsa F. The arterial anatomy of the eyelid: importance for reconstructive and aesthetic surgery. J Plast Reconstr Aesthet Surg. 2007;60(3):241-5. https://doi.org/10.1016/j.bjps.2006.01.056
27. Cotofana S, Lachman N. Arteries of the Face and Their Relevance for Minimally Invasive Facial Procedures: An Anatomical Review. Plast Reconstr Surg. 2019;143(2):416-26. https://doi.org/10.1097/PRS.0000000000005201
28. Cotofana S, Steinke H, Schlattau A, Schlager M, Sykes JM, Roth MZ, et al. The Anatomy of the Facial Vein: Implications for Plastic, Reconstructive, and Aesthetic Procedures. Plast Reconstr Surg. 2017;139(6):1346-53. https://doi.org/10.1097/PRS.0000000000003382
29. Echegoyen JC, Hirabayashi KE, Lin KY, Tao JP. Imaging of eyelid lymphatic drainage. Saudi J Ophthalmol. 2012;26(4):441-3. https://doi.org/10.1016/j.sjopt.2012.08.003
30. Munger BL, Halata Z. The sensorineural apparatus of the human eyelid. Am J Anat. 1984;170(2):181-204. https://doi.org/10.1002/aja.1001700205
31. Lowe JB, Cohen M, Hunter DA, Mackinnon SE. Analysis of the nerve branches to the orbicularis oculi muscle of the lower eyelid in fresh cadavers. Plast Reconstr Surg. 2005;116(6):1743-9; discussion 50-1. https://doi.org/10.1097/01.prs.0000186532.29557.96
32. Reciente estudio internacional muestra que la cirugía estética continúa aumentando en todo el mundo [Internet]. International Society of Aesthetic Plastic Surgery; 2018; Disponible en: https://bit.ly/3FWLu5q
33. Urdiales-Gálvez F, Delgado NE, Figueiredo V, LajoPlaza JV, Mira M, Ortíz-Martí F, et al. Preventing the Complications Associated with the Use of Dermal Fillers in Facial Aesthetic Procedures: An Expert Group Consensus Report. Aesthetic Plast Surg. 2017;41(3):667-77. https://doi.org/10.1007/s00266-017-0798-y
34. Stroman DW, Mintun K, Epstein AB, Brimer CM, Patel CR, Branch JD, et al. Reduction in bacterial load using hypochlorous acid hygiene solution on ocular skin. Clin Ophthalmol. 2017;11:707-14. https://doi.org/10.2147/OPTH.S132851
35. Murthy R, Roos JCP, Goldberg RA. Periocular hyaluronic acid fillers: applications, implications, complications. Curr Opin Ophthalmol. 2019;30(5):395-400. https://doi.org/10.1097/ICU.0000000000000595
36. DeLorenzi C. Complications of injectable fillers, part I. Aesthet Surg J. 2013;33(4):561-75. https://doi.org/10.1177/1090820X13484492
37. Funt D, Pavicic T. Dermal fillers in aesthetics: an overview of adverse events and treatment approaches. Clin Cosmet Investig Dermatol. 2013;6:295-316. https://doi.org/10.1177/1090820X13484492
38. Hirsch RJ, Narurkar V, Carruthers J. Management of injected hyaluronic acid induced Tyndall effects. Lasers Surg Med. 2006;38(3):202-4. https://doi.org/10.1002/lsm.20283
39. Skippen B, Baldelli I, Hartstein M, Casabona G, Montes JR, Bernardini F. Rehabilitation of the Dysmorphic Lower Eyelid From Hyaluronic Acid Filler: What to Do After a Good Periocular Treatment Goes Bad. Aesthet Surg J. 2020;40(2):197-205. https://doi.org/10.1093/asj/sjz078
40. Wijemanne S, Vijayakumar D, Jankovic J. Apraclonidine in the treatment of ptosis. J Neurol Sci. 2017;376:129-32. https://doi.org/10.1016/j.jns.2017.03.025
41. Wutthiphan S, Kowal L, O'Day J, Jones S, Price J. Diplopia following subcutaneous injections of botulinum A toxin for facial spasms. J Pediatr Ophthalmol Strabismus. 1997;34(4):229-34.
42. Lee SK, Jun HJ. Esotropia following botulinum toxin type A injection for facial wrinkles. J Cosmet Laser Ther. 2018;20(1):50-1. https://doi.org/10.1080/14764172.2017.1349322
43. Hsu TS, Dover JS, Arndt KA. Effect of volumen and concentration on the diffusion of botulinum exotoxin A. Arch Dermatol. 2004;140(11):1351-4. https://doi.org/10.1001/archderm.140.11.1351
44. Rzany B, DeLorenzi C. Understanding, Avoiding, and Managing Severe Filler Complications. Plast Reconstr Surg. 2015;136(5 Suppl):196S-203S. https://doi.org/10.1097/PRS.0000000000001760
45. Weinberg MJ, Solish N. Complications of hyaluronic acid fillers. Facial Plast Surg. 2009;25(5):324-8. https://doi.org/10.1055/s-0029-1243081
46. DeLorenzi C. New High Dose Pulsed Hyaluronidase Protocol for Hyaluronic Acid Filler Vascular Adverse Events. Aesthet Surg J. 2017;37(7):814-25. https://doi.org/10.1093/asj/sjw251
47. Goodman GJ, Clague MD. A Rethink on Hyaluronidase Injection, Intraarterial Injection, and Blindness: Is There Another Option for Treatment of Retinal Artery Embolism Caused by Intraarterial Injection of Hyaluronic Acid? Dermatol Surg. 2016;42(4):547-9. https://doi.org/10.1097/DSS.0000000000000670X
Cómo citar
1.
Toquica A, Barrera JC, Acosta Álvaro. Anatomía de la órbita: estructuras en detalle y zonas de riesgo para procedimientos en la práctica dermatológica. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 13 de diciembre de 2021 [citado 25 de enero de 2022];29(3):214-28. Disponible en: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/1666

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Publicado
2021-12-13
Sección
Artículo de revisión

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