Plastic surgery in the elderly to prevent the lower eyelid blepharoplasty ectropion Strategy.doc

 PAGE \* MERGEFORMAT 8 Plastic surgery in the elderly to prevent the lower eyelid blepharoplasty ectropion Strategy Study: Natural Zhao Jia Zhen-Hong Lan Zhang Shanshan Liu Hesong [Keywords:] Ectropion; blepharoplasty; Plastic Surgery Lower eyelid ectropion is a common complication of eye surgery, the elderly are more likely to (1). Ectropion eyelid caused not only morphological changes, severe cases can lead to photophobia, tearing symptoms seriously affect the appearance and daily .2005 life years, our department to improve surgical techniques, combined with characteristics of old skin, starting from the number of links, to effectively prevent the occurrence of lower eyelid ectropion. 1 Materials and Methods 1.1 General information on our hospital from January 2002 to January 2009 87 patients were admitted, male 17, female 70 cases, aged 55 to 72 years, an average of 61 years. 82 cases of the first surgery, second surgery 5 cases, there is a history of 16 patients with tears. According to Lin Maochang indexing classification methods: 59 patients with mild, moderate 17 cases and severe in 11 cases. by flap approach in 21 cases, 66 cases of muscle flap approach, all retained eyes orbicularis muscle. 1.2 General surgical sterilization eye surgery, shop towels sterile hole from the outermost row of the lower eyelid lashes 1.5 ~ 2 mm, Meilan painted markings to the level of the lateral canthal angle and steering direction at 15 degree angle about 1 cm below the outer .2% lidocaine with 1:200 000 epinephrine local anesthesia, skin incision according to preoperative planning, separation to the inferior orbital rim. Gently press the eye, cut in fat and full at the orbicularis muscle, the release of fat. will be automatically prolapse of fat removal, coagulation. orbicularis muscle relaxation by removal of part of the outer canthus muscle, suture smooth. preoperative valgus trend, they will be fixed to the orbicularis muscle or periosteum lateral can