Conjunctival cyst and dermoid lipoma resection

A variety of benign tumors of the conjunctiva, mainly including conjunctival cysts, skin tumors and skin-like lipomas. Treatment of diseases: lipoma gland cysts Indication A variety of benign tumors of the conjunctiva, mainly including conjunctival cysts, skin tumors and skin-like lipomas. Contraindications There are serious obstacles to the coagulation mechanism. High blood pressure, diabetes, and some bleeding-prone diseases. Preoperative preparation 1. Flush the conjunctival sac before surgery. 2. According to the location and size of the tumor, local subconjunctival infiltration anesthesia and conjunctival surface anesthesia. 3. Children who cannot cooperate should be given general anesthesia. Surgical procedure 1. Use the forceps to lift the conjunctiva at the edge of the cyst or skin-like lipoma as a conjunctival incision. 2. Separate the conjunctiva on the surface of the cyst or lipoma, and cut it off after fully exposing the mass. 3. Suture the conjunctiva continuously or intermittently. complication The skin-like lipoma mostly occurs on the temporal side, and its deep layer is connected with the sputum fat. The incision may be made at the conjunctival surface of the cleft palate exposed portion along the edge of the tumor. The tumor was removed after peeling. The extent of resection should be exposed to the cleft palate. Do not separate the deep fat from the iliac crest to avoid damage to the eye muscle or deep adipose tissue. When the external mass is removed, the incision should avoid the lacrimal gland discharge tube located in the iliac crest. When the conjunctival incision is sutured after the tumor is removed, it can be repaired by displacement of the adjacent conjunctiva or by transposition of the pedicled conjunctival flap. Once the cyst has ruptured, the incision can be properly enlarged, the wall of the capsule carefully searched, and all residual walls should be removed as much as possible.