Canthal angle displacement gyratory correction

Congenital internal ecdysis, due to the vertical tension of the internal iliac crest, causes a skin fold in the medial malleolus. The formation of the internal ecdysis is not due to the excessive level of the internal iliac crest to the skin, so the resection of the medial temporal skin can not correct the molting. Reasonable correction of suede surgery is to use the flap indexing method to reduce the vertical skin tension to achieve corrective effect. Since the internal molting can disappear or reduce with age, surgery should be performed after puberty. However, those who have a combination of ptosis and small cleft palate, especially those with a reverse type of internal ecdysis, can undergo surgery before the age of 2 years. Treatment of diseases: internal suede Indication Internal suede is a cosmetic correction for cosmetic purposes. Preoperative preparation 1, the patient should be explained before surgery, surgical scars can be seen locally, especially within 6 months. 2, the normal internal hemorrhoids position should be 1/2 pupil distance, that is, positioned at the midpoint of the center of the bridge of the nose and the center of the pupil. Surgical procedure 1. According to the direction and extent of the splitting, design the arc-shaped incision at different positions, mark with gentian violet, and fix the iodine. When the internal splitting is tilted upwards, the incision is placed over the eyelids, bypassing the medial malleolus and turning under the eyelids. When the cleft palate is tilted downward, the incision is under the eyelid, bypassing the medial malleolus and turning over the nose. When the cleft palate is tilted upwards, the incision is in the center of the upper edge of the eyelid or above the ankle, bypassing the lateral condyle and turning under the eyelid. When the cleft palate is tilted downward, the incision is in the center of the lower edge of the eyelid or under the ankle, bypassing the outer ankle and turning over the eyelid. 2. Cut the skin and the orbicularis muscle. The scar is removed and the pinning force from each part is released. 3. Try to find the end of the medial ligament. Find the end of the medial malleolar ligament and suture it. If the internal iliac crest is not found, the dense and tough connective tissue of the internal iliac crest is sutured on the corresponding periosteum of the iliac crest, or it is fixed on the nasal iliac crest bone with fine stainless steel wire. 4. Trim the skin wound edge, remove the excess tissue, and cut a triangular skin toward the cleft palate at the end of the incision opposite the direction of the palpebral displacement. Layer suture the orbicularis muscle and skin.