tarsalectomy

1. The seesaw is obviously proliferated and thickened. 2. Due to the proliferative deformation of the epiphyseal plate, severe varus is caused and other surgical methods are used to correct the loser. Treatment of diseases: meibomian gland cysts Indication 1. The seesaw is obviously proliferated and thickened. 2. Due to the proliferative deformation of the epiphyseal plate, severe varus is caused and other surgical methods are used to correct the loser. Contraindications High blood pressure, diabetes, and some bleeding-prone diseases. Preoperative preparation 1. 3 days before surgery, the conjunctival sac drops with antibiotic eye drops. 2. Flush the conjunctival sac before surgery. Surgical procedure 1. Flip the upper palate to expose the conjunctiva surface, and place the underlying cushion with the eyelid tray. 2. The sacral conjunctiva and the sacral incision parallel to the gingival margin were made 2 to 3 mm along the gingival margin. The depth was determined by cutting through the full thickness of the tarsal plate and the length was slightly longer than the length of the tarsal plate. 3. Separate the palpebral conjunctiva and the epiphyseal plate from the incision site to the upper edge of the iliac crest; 4. Cut the fully free jaws. 5. Make a 3~4 needle-type suture at the end of the levator levator at the resection margin. The needle is crossed over the lower end of the tarsal plate from the rim of the orbital skin, 3mm above the iliac crest, and the two sutures are sutured. The line spacing is approximately 3 mm. 6. Tie the suture from the skin surface. When ligating, place a thin tube or film under the wire, or pad with a sliver. 7. If the conjunctiva of the eyelid is relatively loose, the sacral conjunctiva attached to the tarsal plate can also be removed when the tarsal plate is removed. complication 1. The peeling of the palpebral conjunctiva should be very careful so as not to damage the conjunctiva. If there is difficulty in peeling, a thin layer of tarsal tissue can be placed on the tarsal conjunctiva. 2. According to the degree and thickness of the deformation of the tarsal plate, and in order to avoid the occurrence of ptosis after the operation, the part of the humeral plate should be preserved when the sacral plate is removed. 3. If only the tarsal plate is thick and the varus is not serious, only the conjunctival incision can be sutured, that is, the conjunctival incision is merged, and the conjunctival surface is inserted from the incision, and the walking route is the same as before. If the varus is severe, the needle can be removed from the skin surface of the outer edge of the iliac crest after the needle is inserted from the iliac crest. When the suture is ligated, the gingival margin can be fully eversion to correct the severe varus. 4. The degree of tightness when ligating the suture should be referred to as the opposite of the contralateral eye.

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