๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Web Repair
Web Repair
Webbing of the medial canthus can usually be repaired with a simple Z-plasty procedure that provides vertical length to constricted skin along the canthal concavity (Fig. 38-23).50โ52 Z-plasty repair is performed by incising along the length of the web constriction with a #15 scalpel blade. A 60-degree flap is then created on opposing sides of each end of the incision. The flaps are elevated and transposed to create length, resolving the tensional forces that created the web.
CONCLUSIONS
Eyelid repairs are a cornerstone of dermatologic surgery and reconstruction. Knowledge and familiarity with the management of tension is essential, and maintaining tension parallel to the lid margin is of the utmost importance. Suspension sutures are used frequently for eyelid reconstruction, and a combination of tailored approaches based on individual anatomy yields consistently outstanding clinical outcomes.
Figure 38-23. Z-plasty repair of canthal web: Z-plasty repair is performed by incising along the length of the web constriction with a #15 scalpel blade. A 60-degree flap is then created on the opposing sides of each end of the incision. The flaps are elevated and transposed to create length, resolving the tensional forces that created the web.