Zygomaxillary flap lower eyelid reconstruction

It is suitable for repairing length. Treatment of diseases: eyelid closure, incomplete orbital sebaceous gland cancer Indication It is suitable for repairing length. Preoperative preparation 1, routine preoperative preparation. 2. Local anesthesia. Surgical procedure 1. After the removal of the lower sacral mass, the larger defect range is left, and the defect is trimmed to a slightly straight nasal incision, and the temporal incision is more oblique than the oblique triangular defect. In the lower part of the eyelid arch, an arc-shaped incision is made on the iliac crest. At the end of the brow arch, the horizontal arc-opening incision turns to the temporal side and stops near the hairline. The length of the incision is determined according to the repaired defect range, such as the defect range. The length is 1/2, and the general incision is about 4cm long. 2. The lower branch of the external iliac ligament was cut through the incision of the external malleolus, and the subcutaneous tissue was sneaked apart. The separation ranged from the incision down to 1 cm below the eyelid defect. If necessary, the partial septum was separated along the gingival margin. In general, when the temporomandibular flap was pushed There should be no pinching power when the nose is in the nose. After adequate hemostasis, the tarsal flap was pushed to the nasal side of the eyelid and sutured in layers, paying attention to the rim. 3. Cut a triangular skin upward at the end of the arcuate incision, or make a skin incision below the central portion of the arcuate incision, and suture the temporal arc incision intermittently. The posterior layer of the lower jaw of the lower jaw was repaired by the method of flipping the conjunctiva. The external malleolar ligament is attached to the sacral suture between the periosteum and the skin for fixation.