Rehabilitation of Bulging Fracture Entropion

The eyeball is invaginated. The best treatment time: general surgery is recommended to be treated after the initial diagnosis of the disease, special surgery should be prescribed. Treating diseases: eye diseases Indication The eyeball is invaginated. Contraindications No relevant information. Preoperative preparation You should fast for eight hours before surgery, and you can drink half a cup or less of water (barley tea) three hours before surgery, but you cannot drink milk or orange juice. Prohibition of alcohol should be done the day before surgery, and excessive weight loss, taking diuretics, taking aspirin, and excessive smoking before surgery can have adverse effects on surgery. The patient should be explained before surgery that the degree of eyeball retraction will be significantly improved after surgery, and the eyes are not necessarily completely symmetrical. Therefore, if the patient saves vision, there may still be diplopia. Surgical procedure 1. 3 mm outside the temporal margin of the temporal side, with a curved incision along the sacral margin, incision of the skin, orbicularis muscle, and exposure of the temporal margin. Outside the temporal margin of the temporal iliac crest, a curved incision was made along the iliac crest, the periosteum was dissected, and the periosteum was removed from the apical direction with a periosteal stripper to make a wide periosteal space. 2. Use a small piece of hydroxyapatite to place the posterior periosteal space of the temporal side, about 3 to 5 mm in size, and the depth is equivalent to 25 mm behind the gingival margin, that is, between the posterior and posterior iliac crests. The eyeball protrusion is basically symmetrical with the healthy eye. Suture the periosteum of the gingival margin. Layer suture the orbicularis muscle and skin. Compression dressing. complication 1 extraocular muscle muscle imbalance; 2 eyeball invagination; 3 ptosis; 4 internal malleolus deformity; 5 lacrimal duct obstruction; 6 vertical muscle shortening (lower jaw); 7 vision loss; 8 trichiasis, sacral adhesion, etc. .