Eyelid darapupo ati Iṣẹ abẹ Agbeegbe: Awọn Adjuncts Iṣẹ-abẹ ati Awọn okuta iyebiye fun Aṣeyọri

Awọn wakati 6 ti fidio ṣiṣẹ. 2018.

O YOO ṢE LATI ṢE RẸ NIPA R LNṢẸ Igbesi aye (iyara ẸRỌ) LEHIN isanwo

nipasẹ Guy Massry, MD ati Amy Patel, MD

Darapọ mọ Dokita Guy Massry, ọga agba oculoplastic, bi o ṣe n ṣe awọn iṣẹ abẹ ipenpeju meje ti o dara ni gbigba fidio ti ẹkọ giga yii. Dokita Massry bẹrẹ ọran kọọkan pẹlu eto iṣẹ abẹ apejuwe. Lẹhinna o gba oluwo ni igbese-nipasẹ-igbesẹ nipasẹ ọran kọọkan, fifi awọn perli abẹ ati awọn ọrọ ọgbọn ti a pejọ lori iṣẹ ọdun 20 kan. Ibi-afẹde Dokita Massry ni lati fun oluwo ohun ti iriri ti kọ ọ, pe nigba ṣiṣe iṣẹ abẹ ni agbegbe elege giga yii, awọn abajade ati aṣeyọri ti ni ilọsiwaju ati pe awọn ilolu dinku.

Dajudaju awọn oluwo yoo ni anfani lati awọn imọran ipilẹ, gẹgẹbi isamisi ati awọn ilana abẹrẹ anesitetiki, si idanimọ lọpọlọpọ ti anatomi ti o yẹ, si awọn imọran ti o ni itara diẹ sii, gẹgẹbi idi ti ọpọlọpọ awọn adaṣe iṣẹ abẹ tabi awọn afikun ṣe ṣafikun. Fidio naa jẹ afikun pẹlu awọn apejuwe iṣoogun ati afikun ohun elo ẹkọ. Awọn imọran lati yago fun awọn iloluran ni a jiroro, bakanna bi awọn ofin ti o yẹ, awọn iwe-iwe, ati awọn oludasilẹ ni aaye.

Awọn ilana pẹlu:

• Blepharoplasty ideri ideri oke, awọn sutures idadoro paadi ọra, ideri isalẹ transconjunctival blepharoplasty pẹlu isọdọtun ọra subperiosteal, idaduro canthal pipade, imukuro awọ ara intraciliary (ilana gbigbọn)
• Ideri oke blepharoplasty, brow sanra idadoro sutures, oke Eyelid sanra transposition
• Blepharoplasty transconjunctival ideri isalẹ pẹlu isọdọtun ọra subperiosteal, commissure-sparing open canthoplasty, intraciliary skin excision (ilana gbigbọn), grafting sanra si orbitomalar groove (ikore lati itan inu)
• Lẹhin-blepharoplasty (cicatricial) atunṣe ifasilẹ ipenpeju kekere, pẹlu: gbigbe endoscopic igba die (lati yago fun bunching canthal), itusilẹ ifasilẹ ipenpeju isalẹ, canthoplasty ṣii, igbega midface preperiosteal (ilọsiwaju myofascial flap), ikore ti alọmọ palate lile pẹlu aaye si mejeeji ipenpeju isalẹ, Frost suture tarsorrhaphy
• Blepharoplasty ideri oke, atunṣe ẹṣẹ ẹṣẹ lacrimal, awọn aṣọ idadoro paadi ọra brow
• Endoscopic ti igba brow gbe soke, blepharoplasty ideri oke, brow sanra pad idaduro sutures, ọtun ti abẹnu ptosis ti abẹnu, blepharoplasty transconjunctival ideri isalẹ pẹlu subperiosteal sanra repositioning
• Blepharoplasty ideri oke, ideri isale transconjunctival blepharoplasty, idaduro canthal pipade, ifasilẹ awọ ara intraciliary (ilana gbigbọn)