PMID: 8949713Aug 1, 1996Paper

Functional anatomy of the levator palpebrae superioris muscle and its connective tissue system

The British Journal of Ophthalmology
A EttlL Koornneef

Abstract

The connective tissue system of the levator palpebrae superioris muscle (LPS) consists of the septa surrounding its muscle sheath, the superior transverse ligament (STL) commonly referred to as 'Whitnall's ligament' and the common sheath which is the fascia between the LPS and the superior rectus muscle (SRM). The anterior band-like component of the common sheath is called transverse superior fascial expansion (TSFE) of the SRM and LPS. It mainly extends from the connective tissue of the trochlea to the fascia of the lacrimal gland. A detailed description of the relation between the LPS and its connective tissue is presented. Furthermore, the course of the LPS in the orbit is described. The study was conducted to provide a morphological basis for biomechanical and clinical considerations regarding ptosis surgery. Postmortem dissections were performed in 16 orbits from eight cadavers. The microscopical anatomy was demonstrated in six formalin preserved orbits from six cadavers which had been sectioned in the frontal and sagittal plane and stained with haematoxylin and azophloxin. Surface coil magnetic resonance imaging in the sagittal and coronal plane was performed in five orbits from five normal volunteers using a T1 weighted ...Continue Reading

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Citations

Aug 14, 2009·American Journal of Ophthalmology·Hirohiko KakizakiDinesh Selva
Apr 23, 2005·Eye·I MombaertsL Koornneef
Sep 15, 2000·Plastic and Reconstructive Surgery·R SultanaH Kushima
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Jun 14, 2012·Orbit·Hyera KangHirohiko Kakizaki
Feb 8, 2013·Orbit·Soo Khai NgDinesh Selva
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