eyelid notch repair

The sacral incision is often caused by eyelid trauma, scar contracture after inflammation, and eyelid surgery errors. It is characterized by a strip-like scar that is perpendicular or nearly perpendicular to the rim of the eyelid and runs through the entire layer of the eyelid, which can cause horny deformity of the gingival margin. Treatment of diseases: congenital eyelid defects Indication edge notch repair is applicable to: 1. The gingival margin is caused by a sacral margin defect or a horny deformity. 2. The affected eye has discomfort such as friction and foreign body sensation. Surgical procedure 1. Insert the eyelid plate into the dome, cushion the eyelids and protect the cornea. 2. Perform skin incision along the outside of the scar, remove the longitudinal scar of the eyelid, and separate the skin, the orbicularis muscle layer and the tarsal conjunctiva layer to fully stop bleeding. 3. The tarsal plate and the palpebral conjunctiva layer were sutured intermittently in front of the tarsal plate with a 6-0 gut line or a 8-0 nylon line. It can also be sutured continuously in the sacral conjunctiva and ligated at the gingival margin. 4. After the cross section of the orbicularis muscle is released, the 8-0 nylon thread is used as the end-to-end suture. 5. The skin is sutured, and an oblique side cut is made on both sides of the original longitudinal incision to form a "Z" shaped incision, and the two triangular flaps are transposed and then intermittently sutured. 6, the original incision at the edge of the incision with a 0 silk thread to make a sacral traction suture, the conjunctival sac is coated with antibiotic eye ointment, the traction suture is pulled to the opposite side with a tape fixed, daily routine eye dressing change, the first Remove the sutures in 7 days.

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