Aesthetic Eyelid ndi Periorbital Opaleshoni: Othandizira Opaleshoni ndi Ngale Zopambana

Maola 6 avidiyo yogwira ntchito. 2018.

MUDZAKHALA KUKHALA KUKHALA KUKHALA KULIMBIKITSA KULIMBIKITSA KULIMBIKITSA (FAST SPEED) MUTHA KULIPIRA

ndi Guy Massry, MD ndi Amy Patel, MD

Lowani nawo Dr. Guy Massry, dokotala wamkulu wa opaleshoni ya oculoplastic, pamene akuchita maopaleshoni asanu ndi awiri okongoletsa zikope m'mavidiyo ophunzitsa kwambiriwa. Dr. Massry akuyamba vuto lililonse ndi ndondomeko yofotokozera ya opaleshoni. Kenako amatenga wowonerayo pang'onopang'ono pazochitika zilizonse, ndikuyika ngale za opaleshoni ndi mawu anzeru omwe adasonkhanitsidwa pazaka 20 za ntchito. Cholinga cha Dr. Massry ndi kuuza owonerera zomwe zamuphunzitsa, kotero kuti akamapanga opaleshoni pamalo osalimba kwambiri, zotsatira zake zimakhala zabwino komanso zovuta zimachepa.

Owonerera adzapinduladi ndi mfundo zofunika kwambiri, monga kuyika chizindikiro ndi njira za jakisoni woziziritsa ululu, mpaka kuzindikira zambiri za thupi loyenerera, ku malingaliro opatsa kuganiza mozama, monga chifukwa chake njira zosiyanasiyana za opaleshoni zimawonjezedwa. Kanemayo akuwonjezeredwa ndi zithunzi zachipatala ndi maphunziro owonjezera. Malangizo opewa zovuta amakambidwa, komanso mawu ofunikira, zolemba, ndi oyambitsa m'munda.

Njira zikuphatikizapo:

• Chivundikiro chapamwamba cha blepharoplasty, ma sutures oyimitsidwa a brow mafuta pad, blepharoplasty yachivundikiro chotsika cha transconjunctival blepharoplasty yokhala ndi mafuta a subperiosteal, kuyimitsidwa kwa canthal, kutulutsa khungu lamkati (njira yotchinga)
• Chivundikiro chapamwamba cha blepharoplasty, kuyimitsidwa kwamafuta pamphuno, kusinthika kwamafuta am'maso
• Lower lid transconjunctival blepharoplasty yokhala ndi subperiosteal fat repositioning, commissure-sparing open canthoplasty, intraciliary skin excision (njira yotchinga), kulumikiza mafuta ku orbitomalar groove (kukolola kuchokera mkati mwa ntchafu)
• Kukonzanso kwa post-blepharoplasty (cicatricial) m'munsi mwa kope lochotsa zikope, kuphatikiza: kukweza kwapang'onopang'ono kwa endoscopic brow (kupewa canthal bunching), transconjunctival m'munsi mwa eyelid retractor, open canthoplasty, preperiosteal midface lift (kupita patsogolo kwa myofascial flap), kukolola kwa hard palate graft ndikuyika onse m'munsi zikope, frost suture tarsorrhaphy
• Chivundikiro chapamwamba cha blepharoplasty, kuyikanso kwa glands lacrimal, ma sutures oyimitsidwa a brow mafuta pad
• Endoscopic temporal brow lift, chapamwamba chivindikiro blepharoplasty, brow mafuta pad kuyimitsidwa sutures, kumanja mkati ptosis kukonza, m'munsi chivindikiro transconjunctival blepharoplasty ndi subperiosteal mafuta repositioning
• Chivundikiro chapamwamba cha blepharoplasty, chivundikiro chotsika cha transconjunctival blepharoplasty, kuyimitsidwa kwa canthal kutsekedwa, kutulutsa khungu lamkati (njira yotchinga)