SU648222A1

SU648222A1 - Method of treating blepharaptosis

Info

Publication number: SU648222A1
Application number: SU772539500A
Authority: SU
Inventors: Асылхан Намазбекович Джуматаев
Original assignee: Dzhumataev Asylkhan N
Priority date: 1977-11-03
Filing date: 1977-11-03
Publication date: 1979-02-25

Description

Изобретение относитс к области медицины , а именно офтальмохирургии.This invention relates to the field of medicine, namely ophthalmic surgery.

Известен способ лечени блефароптоза путем укорочени леватора и проведением его через хр щевые мостики 1.There is a method of treating blepharoptosis by shortening the levator and passing it through the cartilage bridges 1.

Однако такой способ не обеспечивает дозированного подъема верхнего века при частично сохраненной функции леватора.However, this method does not provide dosed lifting of the upper eyelid with a partially preserved levator function.

Целью изобретени вл етс дозированный подъем верхнего века при частично сохраненной функции леватора.The aim of the invention is a metered elevation of the upper eyelid with a partially preserved levator function.

Это достигаетс тем, что подшивают сухожильную часть леватора к телу мышцы.This is achieved by stitching the tendon part of the levator to the body of the muscle.

Способ осуществл ют следующим образом .The method is carried out as follows.

Производ т анестезию - терминальную трехкратной инстилл цией 0,25°/о-ным раствором дикаина, инфильтрационную 1%-ным раствором новокаина под конъюнктиву свода и, толщу века, а также проводниковую по ходу основных веточек глазничного нерва. Операцию у детей провод т под наркозом и в зависимости от типа наркоза можно сочетать с местной анестезией.Anesthesia is performed - a terminal three-time instillation with 0.25 ° / o-dy solution of dicainum, an infiltration with a 1% solution of novocaine under the conjunctiva of the vault and over a century, as well as a conductor along the main branches of the orbital nerve. The operation in children is performed under anesthesia and, depending on the type of anesthesia, can be combined with local anesthesia.

Операцию осуществл ют в несколько этапов .The operation is carried out in several steps.

На первом этапе высвобождают леватор. Дл этого производ т двойной выворот верхнего века на векоподъемн№ке, делают два вертикальных надреза конъюнктивы свода, начина от материального и медиального концов хр ща к верщине свода, длина надрезов около 5 мм. Отсепаровывают коньюнктиву свода от леватора с помощью тонкого ишадел и тупоконечных пр мых ножниц.At the first stage, the levator is released. To do this, double inversion of the upper eyelid on the eyelid lift is made, two vertical incisions of the conjunctiva of the arch are made, starting from the material and medial ends of the cartilage to the vertex of the arch, the length of the incisions is about 5 mm. Conjunctiva of the fornix is separated from the levator with the help of thin ischadel and blunt-pointed straight scissors.

Claims

Cut the skin and muscular layer on a metal plate, summed under the upper eyelid. The incision is made along the whole of its. the eyelid edge of the eyelid, and the incision distance from the edge depends on the height of the natural palpebral fold of the healthy eye during unilateral ptosis. With bilateral blepharoptosis, in the absence of a natural fold, the incision is made 4-5 mm from the eyelashes. Carefully expose the entire front over the top of the ravine. At the levator, at the very top edge of the rag, two strong biofilters are applied, which are tied after each stitch onto a single knot. These two grooves provide reliable retention of the levator with a further release of the muscle, and subsequently use V oi to fix iipii formation of the muscle. Then the latitude reaches nepeflirroro over the top of the levator to the upper edge of the orbit and further into it. They separate the levator with a cut from the edge of the cartilage in front of biowires. The severed levator is separated from the lateral extensions — lateral and medial. To do this, the muscle is contracted between the branches of the shtei gtr myh that pokétgech tfbi X n bj and and c; kntsy kbt dir1 atr and in lena directly behind, and dissect. Releasing a levator's baby is checked with antsypered anterior with the help of bioshvs. The first stage of the operation is made by dividing the 1st ITSC: for each body there are two tapes between the biosyami. At the second stage, bridges are cut out of the upper eyelid horn. For this, an indent of 3 mm from the top edge of the head, parallel to it, two isolated cuts of the thickness of the mountain are made. The length of each section is 5 mm, the distance between them (the whole part of the cartilage is intact) is also 5 mm. Hr uyogeetically recurve with tdeyut on the upper edge of the conjunctiva, and in this way are very useful; The third stage is connected to the shortening of the left quadra by applying the tapes of the muscles under the cartilage bridges. The eyelid is tightened with ribbons to the desired height. Then the muscle tape is retracted and fixed by biowires to the levator body. In the fourth stage, the trap bridges are attached to the main mass of xpxa. For this purpose, the cartilage bridge with the muscle fold is captured in a catgut suture, both ends of which lead to the skin surface below the wound edge. Moreover, the lower end of the seam is conducted through the thickness of the cartilage below the bridge. The ends of both catgut schvs are fastened on a common rubber cushion, which, pressing down on the tissue, contributes to the shaping of the n'alembral fold. The roller is removed after 4 days, the immersion suture from the skin wound - after 7 days. The proposed method is effective and provides a dosed sub1) e. upper eyelid with partially preserved levator function. The invention The method of treating blepharoptosis by shortening the levator and passing it through the cartilage bridges, characterized in that, in order to lift the upper eyelid with the partially preserved levator function, hem the tendon of the lesionator to the body of the muscle. Sources of information taken into account in the examination 1. Blascovies L Arch Ophtalmol, 1929, V 52, p. 563-573.