Blepharoplasty in the outer third of the upper eyelid incision

Ankle plasty with an external 1/3 incision for the treatment of external hemorrhoids. Treatment of diseases: ophthalmologic myasthenia gravis Indication The ankle plasty of the upper third of the upper incision is applicable to: 1. Injury of the medial malleolar ligament: such as impaired intercondylar widening and dislocation. 2, benign tumors caused by sputum displacement: such as hemangioma, neurofibromatosis and bone fiber abnormal proliferation. 3, congenital craniofacial malformations: such as widening of the distance, narrow cleft palate, craniofacial hypoplasia and hypoplasia of the mandibular surface. Contraindications The absence of internal or external defects after trauma or tumor resection is beyond the scope of this section. Preoperative preparation 1. The surgical plan should be designed according to the cause of the sputum shift. It is often used for internal and external hernia repair while treating major diseases. 2. In the iliac fixation, if you need to use small bone pieces or slotted wire, you should determine the bone removal site or prepare the metal material. Surgical procedure Incision Make an elliptical skin incision at the outer 1/3 of the standard ankle incision in the lateral malleolus, extending outward into the wrinkles next to the extraocular corner, and removing a small oval skin to avoid bulging due to the upward movement of the tendon 2. Identify and fix ligaments Through this incision, the outer iliac ligament area is identified and loosened, the ligament is sutured with a wire, passed through the upper two holes above the frontal forehead, and adjusted to the same level as the opposite side. It may be necessary to loosen underneath to loosen the orbicularis and periosteum. complication 1. Wound infection. 2. The main reason for the recurrence of sacral displacement is the use of thin metal wire as the puncture and fixation of the patellar ligament; the second is that the suture is unreliable, so that the patellar ligament is in the tensioned and fixed position, avulsion or fracture occurs; The two bone holes for the wire are too close, and the bone is absorbed after the ligation to loosen the fixation.