Sagging skin and age-related upper eyelid entropion surgery.doc

 PAGE \* MERGEFORMAT 5 Sagging skin and age-related upper eyelid entropion surgery Of: Xu Meiling, Sun Fenghai, Ma Hongmei, Jia Jian [Keywords:] surgery 0 Introduction With age, upper eyelid skin aging, different degrees of sagging, particularly as the lateral upper eyelid. Who was a typical “triangular eye” deformity, severe cases, cover the field of vision, visual impact, some more trachoma conjunctivitis were accompanied by heavy entropion trichiasis, “sickle-shaped” partial removal of the upper eyelid skin and orbicularis muscle, orbital septum outer part of the Department of eyelid fat globules on the part of trichiasis patients with thickening of the tarsal plate cutting, has made good clinical effects. 1 Clinical data 01/2010 01 2004 in our hospital were treated 186 cases of upper eyelid sagging skin, entropion trichiasis of which 15 cases, aged 40 to 70 years old, less than 1 case of eyelid correction, 4a again after surgical correction. Surgical methods: Preoperative crossed to determine the amount of upper eyelid skin excision, touched upon the double eyelid line drawn in the margin of 4 ~ 5mm from the Department, from the inner canthus to outer canthus to outer canthus crossed outside the 3 ~ 5mm at the corner, and then clamp the line up from the double eyelid touched upon the skin determine the removal of skin holding the upper edge, generally around the middle and lateral distance of about 1.5 ~ 2.0cm off the assembly line, along the double eyelid line crossed from inside to outside, beyond the lateral canthus outer canthal angle of about 5 ~ 10mm, was “sickle-shaped”, part of the skin to remove the widest part of the outer canthus. with a little adrenaline plus 20g / L lidocaine for local anesthesia, cut along the upper eyelid to remove excess skin incision and partial orbicularis Muscle, fat upper eyelid ptosis who open the orbital septum fascia hernia gently pulling out the fat, with prominent fat mosquito clamp from the bot