eyelid suture

The effect of sputum cracking: closed cleft palate, protects the cornea; binds the upper and lower sacral margins, and resists the contraction of the orbital graft. Treatment of diseases: closed eyelid dysfunction keratitis Indication suture is suitable for: 1. In a comatose patient, the eyelids are incompletely closed, and those with exposed keratitis are present. 2. Facial nerve palsy, eyelid regurgitation or neuroparalytic keratitis. 3. Thyroid-related eye diseases, eyeballs. 4. The eyelids are free of skin grafting and resist the contraction of the skin. Surgical procedure Temporary Blepharorrhaphy (1) Anesthesia on the surface of the conjunctiva, anesthesia under the skin of the upper and lower jaws. (2) The eyelid pad protects the eyeball, and the needle is inserted into the needle from the upper and lower iliac crests in the middle or the upper third of the iliac crest by 3mm from the iliac crest, parallel to the iliac crest, through the subcutaneous muscle layer, the superficial layer of the tarsal plate, The needle is pulled out from the middle or outer 1/3 of the eyelid, the suture is tightened, the upper and lower jaws are pulled, the rim is naturally closed, and the suture is ligated. (3) Apply eye ointment, cover the eye pad, remove the suture after 5 to 7 days according to the condition, and restore it by the upper and lower jaws. 2. Partial Blepharorrhaphy (Partial Blepharorrhaphy) (1) In the upper and lower eyelids, the iliac crest at the inner and middle 1/3, each cut a pair of 4mm long gray lines, the incision is 1mm deep. After cutting the incision, the epithelium of the temporal margin of the leaf causes the wound. (2) Use the double needle stitch No. 0 to insert the needle from the skin of the side of the opposite incision, pass through the anterior leaf of the incision, and insert the needle from the inner surface of the incision edge of the incision to wear the skin. Make a suture. To prevent the suture from being embedded in the tissue, a small rubber sheet is placed between the suture and the tissue for ligation. Do not be too tight when ligating, so as not to affect blood supply. (3) After the operation, the eye pad was removed, and the skin suture was removed after 7 days. This method causes the upper and lower rim edges to adhere, and the center exposes small holes, which can observe the cornea without obstructing the line of sight. 3. Total Blepharorrhaphy (Total Blepharorrhaphy) It is mainly used for anti-skin contraction, total conjunctival sac reconstruction and orbital reconstruction after severe scar valgus skin correction. (1) 2/3 of the upper and lower iliac crests are divided into two anterior and posterior lobes from the gray line, and the posterior and posterior iliac crests enter the needle from the conjunctiva through the tarsal plate, and then the needle is removed from the conjunctiva through the tarsal plate. Suture, after the ligation, the lips of the upper and lower iliac crests are loosened and the adhesion surface is widened. (2) 3 pairs of sutures were sutured on the anterior and posterior iliac crest. (3) The eye pad of the eye is removed, and the thread is removed after 7 days. This method can ensure that the upper and lower gingival margins are firmly healed.