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Способ устранения паралитического и/или атонического выворота века
专利权人:
Federalnoe gosudarstvennoe avtonomnoe uchrezhdenie "Mezhotraslevoj nauchno-tekhnicheskij kompleks "Mikrokhirurgiya glaza" imeni akademika S.N. Fedorova" Ministerstva zdravookhraneniya Rossijskoj Feder
发明人:
Gushchina Marina Borisovna,Гущина Марина Борисовна,Malkov Stanislav Anatolevich,Мальков Станислав Анатольевич,Ershova Valentina Vladimirovna,Ершова Валентина Владимировна
申请号:
RU2017126677
公开号:
RU0002662418C1
申请日:
2017.07.26
申请国别(地区):
RU
年份:
2018
代理人:
摘要:
FIELD: medicine.SUBSTANCE: invention relates to medicine, specifically to ophthalmology. To eliminate the paralytic or atonic reversal of the lower and/or upper eyelid, the skin is initially cut from the inner to the outer ligament of the eyelids along the edge of the eyelid, receding from the ciliary margin of 2–3 mm. Next, the skin is cut off all over the section from the circular muscle by 5–7 mm towards the orbital margin. Then, retreating 4–5 mm from ciliated edge of the eyelid, they open the circular muscle with scissors stupidly throughout the cutaneous incision. Cutaneous muscle flap is removed towards the orbital rim. Further, in the lateral sections of the eyelid, a pentagonal, through fragment, beginning with its base from the rib margin of the eyelid, is excised, two opposite lateral edges of the fragment are equal in length and perpendicular to the base, and the vertex is facing the orbital edge. Through the top of the formed pentagonal end-to-end defect, from the side of the palpebral conjunctiva, a U-shaped suture is made and taken out to the skin. Next, the lateral edges of the pentagonal end-to-end defect of the eyelid are sutured with each other layer by layer, firstly applying nodal sutures to the tarsal plate in such a way that the nodes are above the tarsal plate, then the gray rim of the costal edge of the eyelid is sutured with three nodal sutures, which are applied to the inner rib, the outer rib and to the center of the gray fringe. Then exfoliate the circular muscle from the tarsal plate to the rib margin. Further to the medial side up to the inner ligament and/or laterally to the outer ligament of the eyelids, forming a tunnel or tunnels above one of the ligaments or over both ligaments, respectively. Then, a polymeric perforated endoprosthesis is placed on the tarsal plate and fixed at the beginning with U-shaped internal nodal sutures to the anterior surface of the tarsal plate, and then to one or both ligaments of the eyelids in the tun
来源网站:
中国工程科技知识中心
来源网址:
http://www.ckcest.cn/home/

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