METHOD OF SUBCUTANEOUS AUTOFASCIOMUSCULAR PLASTICS FROM TOTAL EXTENSIVE SYMBLEFARONUM TEMPLE Russian patent published in 2008 - IPC A61F9/07 

FIELD: medicine.

SUBSTANCE: invention refers to ophthalmology and can be applied for autofasciomuscular plastics from total extensive symblefaronum temple. Healing tissue is removed under internal operational surface of eyelids. Skin is dissected by 4 cm behind hair growth line. Detachment is carried out by dull method supraperiostally to orbital surface of zygomatic bone before external eyelid ligament fixture. Detachment is continued subperiostally with dissection of external eyelid ligament fixture and passage under- and above tarsoorbital fascia. Flap is cut out immobilising it to middle temporal muscle. Shaped suncutaneous autofasciomuscular flap having crus by orbital edge is splitted by two layers, one of which contains only superficial plate of temporal fascia, and another one contains both superficial part of temporal muscle and deep plate of temporal fascia. First flap is overturned to orbit, delivered under external ligament of eyelids, by surface of tarsoorbital fascia and laid on eyeball surface, including cornea surface covering, closed with interrupted sutures in front of all ligaments of external direct muscles of an eye and to episclera in intramuscular spaces on eyeball equator. Another musculofascial flap is overturned to orbit and delivered by anterior surface of tarsoorbital fascia, while flap muscular surface is turned to internal surface of eyelids, and its fascial surface is turned to eyeball, thus between two plates of temporal fascia there is ocular prosthesis placed. Musculofascial layer is closed with mattress vicryl suture 4/0 to orbital part of orbicular muscle of eyelids by the whole perimetre, starting from external edge of orbit to medial edge of orbit in pairs along low and upper orbit edge. Method enables to provide stability of cavity filling, to reduce eyelid inversion and entropion risk.

EFFECT: provided stability of cavity filling within autofasciomuscular plastic from temple with reduced risk of eyelid inversion and entropion.

4 cl, 2 ex, 1 tbl, 3 dwg