Elderly flaccid ectropion correction

, , , , , , , Treatment of diseases: senile external valgus and valgus Indication Old-age relaxation valgus correction surgery is applicable to: 1. Kuhnt-Szymanowski method for the correction of senile valgus in elderly patients with loose valgus and valgus. 2. Imre method to correct 1/3 of mild dysfunction valgus in elderly patients with loose valgus and valgus. Surgical procedure 1.Smith method to correct the elderly loose valgus valgus (1) Under local anesthesia, 2mm below the edge of the lower eyelashes, starting from the inner 1/3, parallel to the gingival margin, cut the skin until the external angle, thereby extending the incision 1.5cm, then to Cut vertically 1 to 1.5 cm. (2) Separating the subcutaneous tissue and exposing the orbicularis oculi and the lower jaw. (3) At the junction of the middle and outer 1/3 of the lower iliac margin, use the scissors to cut the whole layer of the lower slab vertically, and use two scorpions to clamp the sides of the slab incision separately, and pull together to measure the extent of the eyelid to be removed. Make it stick to the eyeball. (4) After removing the estimate of the tarsal plate, use scissors to cut the whole layer of the eyelids except the skin. The wounds on both sides should be parallel and vertical so that the seams can be aligned in a straight line. (5) The tissue of the tarsal plate to the lower iliac crest is triangularly cut, and the triangular tip is down to the dome. (6) Stitching the gingival margin with 6-0 silk thread: the first line is sewn at the trailing edge of the gingival margin, the second line is sewn at the leading edge of the gingival margin, and the third line is sewn at the gray line of the gingival margin. After ligating, the rims will be aligned and will not become obscured. (7) The 6-0 gut was sutured through the tarsal plate in front of the tarsal plate, and the eyelid position and tension were recovered. (8) Pull up the skin and cover the wound. Start from the nose and sew to the outer ankle to remove excess skin. (9) After the operation, the eye pad is wrapped, the dressing is changed every day, and the suture is removed 6 to 7 days. 2. Kuhnt-Szymanowski method to correct the elderly loose valgus valgus (1) Under local anesthesia, the 2/3 gray line outside the lower jaw is cut and split into two leaves. The length of the gray line incision depends on the degree of eversion. The heavier the eversion, the more the incision extends inward. The incision is as deep as 1 cm. After the two leaves are separated, a sacral conjunctiva and a small triangle of the tarsal plate are cut in the central part of the posterior lobe, and the triangular base is located at the iliac crest, and its length is such that the iliac crest is close to the eyeball. The incision of the lower ankle angle is extended upward to cut the skin AB, and its length is 2 to 3 mm longer than the base of the triangular section of the seesaw. Then, from the outer corner, perpendicular to AB, make an AC cut equal to twice AB. Connect the ends of the two incisions of AB and AC to make the third incision BC, and cut the skin inside the triangle to form the ABC wound. (2) The anterior lobe of the lower iliac crest is loosened under the muscular layer to cover the ABC wound without being nervous. (3) suture the triangular wound of the tarsal with a 5-0 silk thread, first sew the tip, the middle of the secondary seam, and then sew the base. Pull the outer semi-anterior lobes of the lower jaw to the lateral malleolus, cover the ABC wound, cut off the eyelashes of the part, and suture the skin with a 5-0 silk thread. 1mm below the conjunctival surface, use a suture to pass through the front and back two leaves, and a small gauze roll is ligated on the leather surface to eliminate the dead space between the two leaves. 3.Imre method to correct the elderly loose valgus valgus (1) Under local anesthesia, the heaviest part of the genital valgus is divided into two leaves. (2) At the inner end of the incision, a skin triangle is cut away, and the base is located at the rim of the rim, which is sized to eliminate the degree of eversion. (3) The posterior lobe triangle is cut at the lateral end of the incision, and the base is also located at the iliac crest, and its size is equal to the skin triangle. (4) Triangulation of the posterior lobes of the posterior lobes, ligation of the conjunctival surface (with 5-0 silk), and subcutaneous skin triangle. Finally, the front and rear leaf sulcus seams are 2 to 3 needles.