FIELD: medicine.
SUBSTANCE: for surgical removal of the lagophthalmos, the lower eyelid is strengthened with a polytetrafluoroethylene implant. It is fixed to the anterior surface of the tarsal plate and to the periosteum in the projection of the eyelids ligament. In addition, the upper eyelid levator is recessed using a polytetrafluoroethylene implant. At that, the levator aponeurosis is cut off from the tarsal plate and the implant is sutured to the tarsal plate from one side and to the aponeurosis from the other side. The implant for lower eyelid strengthening and for upper eyelid levator recession may have holes with a diameter of 2 mm, located in staggered order, and a thickness of 200-300 microns. In case of overgrowed eyelids, partial external blepharrophy is additionally performed. If a rigid fixation is required, the implant is fixed to the bone through perforations.
EFFECT: method provides effect stability with a decrease in recurrence and an adequate cosmetic result.
4 cl, 1 ex, 7 dwg
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Authors
Dates
2017-11-08—Published
2017-02-02—Filed