METHOD FOR PLASTIC REPAIR OF VAST OR SUBTOTAL EYELID DEFECT, AS WELL AS TOTALLY LOST EYELID Russian patent published in 2016 - IPC A61F9/07 

FIELD: medicine.

SUBSTANCE: after a pathological lesion is removed, side walls of a penetration defect are extended by incising the separated conjunctive towards the adjoining conjunctival fornix, thereby forming a conjunctival flap. That is followed by forming and mobilising two vascular-pedicle muscular flaps of orbicular muscle tissues. The formed conjunctival flap and one of the muscular flaps are shifted until aligned with an eye fissure periphery; the flaps are fixed, whereas the tarsal plate defect is replaced by an autograft or endoprosthesis to be fixed. The second muscular flap is shifted similarly to the first muscular flap and fixed. After the skin defect is eliminated, the shifted tissues are fixed within the conjunctival fornix and in the entire area by means of U-sutures delivered through openings of hexagonal compression plates. Temporary blepharorrhaphy is performed; antiseptic agents are applied; a dressing is used to cover the defect area; the postoperative period involves taking out the stitches and removing the plates.

EFFECT: method enables achieving the total full-layer repair of the eyelid having vast or subtotal penetration defects, as well as is applicable in the repair of the totally lost eyelid due to providing the stable position of the tissues shifted onto the penetration defect area.

7 cl, 3 ex