Anterior lacrimal gland removal

It is suitable for small-sized chronic lacrimal gland enlargement or lacrimal gland tumor. Treatment of diseases: lacrimal gland tumors Indication A small volume of chronic lacrimal gland enlargement or lacrimal gland tumor. Preoperative preparation Oral sedatives before the operation. Surgical procedure 1. From the midpoint of the upper edge of the iliac crest, make an arc-shaped skin incision along the gingival margin to reach the upper edge of the external malleolus. The rim rim muscle is separated in the incision along the direction of the fiber. Use a small hook to open the wound and stop bleeding, and expose the periosteum and septum. 2. 3mm from the upper edge of the iliac crest, use scissors to cut the septum along the rim of the iliac crest. The lacrimal gland can be exposed by excising the removed fat. 3. Insert a goggle to the upper dome to protect the eyeball. The lacrimal gland capsule was clamped with forceps and pulled forward and downward, and the periosteal separator was used to separate the connective tissue between the dome and the lacrimal gland. 4. Pull the levator aponeurosis to the nasal side with a hook to separate the relationship between the lacrimal gland and the levator aponeurosis, so that the lacrimal gland is fully free. 5. If only the temporal lobe is removed, the lacrimal gland is removed after ligation of the lacrimal gland and temporal lobe junction. 6. If all lacrimal glands are to be removed, the lacrimal glands should be released. The lacrimal gland capsule was clamped with a vascular clamp and pulled out of the wound, with a small number of adhesions continuing to separate. If there is a blood vessel, it should be cut after ligation, and then the lacrimal gland is removed. 7. Inject a small amount of antibiotic into the cavity. The removed lacrimal gland should be sent to the pathological section. Separate sutures, 3 to 4 needles with 6-0 sutures, 2 to 3 needles for orbital muscles, and 4 to 5 needles for 3-0 sutures. Gently bandage with a bandage. complication A small number of patients have a mild hematoma after surgery and will absorb it after about 2 weeks.