Dacryocyst Removal and Blepharoplasty

The lacrimal cystectomy and orbital surgery are suitable for the lacrimal cyst, which is prominent in the lacrimal sac. When the eyelid is involved, the orbitalplasty should be performed while the tumor is completely removed. If the tumor is limited to the lacrimal sac, simply remove the lacrimal sac. Treatment of diseases: lacrimal sac tumor Indication The lacrimal cystectomy and orbital surgery are suitable for the lacrimal cyst, which is prominent in the lacrimal sac. When the eyelid is involved, the orbitalplasty should be performed while the tumor is completely removed. If the tumor is limited to the lacrimal sac, simply remove the lacrimal sac. Contraindications Acute inflammation of the conjunctiva and ankle skin. Preoperative preparation For nasal and sinus conditions, check first. Antibiotic eye drops were taken 3 days before the operation, and the conjunctival sac was fully washed on the day of surgery. Surgical procedure 1. Draw the tumor line on the skin and cut it outward according to the marked mark (Fig. 8.2.6-1). Cut the lower branch of the lateral malleolus ligament. 2. Cut the skin and orbicularis muscle from the normal tissue 5 mm away from the edge of the tumor to the periosteum, that is, remove the mass from the normal tissue and completely remove it. 3. Cut to the inner side of the sputum and find that some bones and sputum fat have been suspected to have been violated and should be completely removed. 4. After the tumor is completely removed, the inner iliac crest and the inner 1/3 of the lower jaw are completely covered. 5. The lower conjunctiva is separated from the inferior temporal margin and the lateral side, so that the residual iliac crest is fully free, and the flap of the nasal root is also fully free. 6. Make a skin incision parallel to the gingival margin 2 cm from the inferior temporal margin. The incision passes over the lateral ankle. An incision parallel to the rim of the iliac crest was made at a distance of 4.5 mm from the gingival margin, and the inner layer of the sacral stump was sewed on the periosteum of the lower margin of the iliac crest. 7. The long rectangular flap free from the inferior temporal margin is sutured to the wound edge of the nasal side defect.