Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/59842
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Type: Journal article
Title: Orbital septum attachment sites on the levator aponeurosis in Asians and whites
Author: Kakizaki, H.
Selva-Nayagam, D.
Asamoto, K.
Nakano, T.
Leibovitch, I.
Citation: Ophthalmic Plastic and Reconstructive Surgery, 2010; 26(4):265-268
Publisher: Lippincott Williams & Wilkins
Issue Date: 2010
ISSN: 0740-9303
1537-2677
Statement of
Responsibility: 
Hirohiko Kakizaki, Dinesh Selv, Ken Asamoto, Takashi Nakano and Igal Leibovitch
Abstract: Purpose: To characterize the attachment site of the orbital septum on the levator aponeurosis and the anatomic level of the inferior end of the preaponeurotic fat pad, both in Asians and whites. Materials and Methods: Full-thickness sagittal sections of upper eyelids, fixed in 10% buffered formalin, were microscopically examined in 18 postmortem upper eyelids of 10 Asian cadavers (mean death age, 78 years; age range, 68–89 years) and 11 postmortem upper eyelids of 7 whites (mean death age, 88 years; age range, 78–101 years). We measured the distance from the superior tarsal border to the attachment site of the orbital septum on the levator aponeurosis based on the position of the distal end of the anterior layer of the levator aponeurosis. In addition, the position of the inferior end of the preaponeurotic fat pad was simultaneously measured from the superior tarsal border. Results: The average distance from the superior tarsal border to the distal end of the anterior layer of the levator aponeurosis was 4.44 mm in Asians and 3.71 mm in whites (p = 0.412). The average distance from the superior tarsal plate border to the preaponeurotic fat pad was 1.90 mm in Asians and 3.17 mm in whites (p = 0.173). Conclusions: The distance from the orbital septum attachment site on the levator aponeurosis to the superior tarsal border is similar in Asians and whites. However, there is some tendency, although not statistically significant, to a lower extension of the preaponeurotic fat pad in Asians.
Keywords: Eyelids; Oculomotor Muscles; Orbit; Connective Tissue; Adipose Tissue; Humans; Aged; Aged, 80 and over; Asian Continental Ancestry Group; European Continental Ancestry Group
Rights: © 2010 The American Society of Opthalmic Plastic and Reconstructive Surgery, Inc.
RMID: 0020100480
DOI: 10.1097/IOP.0b013e3181be3097
Appears in Collections:Opthalmology & Visual Sciences publications

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