Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . slightly farther thanthat of the conjunctiva. The conjunctiva and skin are then sewed togetherwith interrupted sutures (Fig. 774). In extreme cases of shortening of the fissure, such as follows scar contrac-tion, a flap of skin may be swung down from the temple and split (Fig. 775). Tarsorrhaphy may be lateral or median. Lateral tarsorrhaphy is done toreduce the size of an abnormally wide palpebral fissure, in congenital anoma-lies, lagophthalmos, ectropion, and i
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . slightly farther thanthat of the conjunctiva. The conjunctiva and skin are then sewed togetherwith interrupted sutures (Fig. 774). In extreme cases of shortening of the fissure, such as follows scar contrac-tion, a flap of skin may be swung down from the temple and split (Fig. 775). Tarsorrhaphy may be lateral or median. Lateral tarsorrhaphy is done toreduce the size of an abnormally wide palpebral fissure, in congenital anoma-lies, lagophthalmos, ectropion, and in exophthalmos. The operation is asfollows: The lids are closed, and a mark made with a scalpel or pencil at thedesired end of the fissure. With a spatula between the lids and the ball toprotect the latter the margins of the lids are denuded of epithelium. Thehair-bearing epithelium should not be removed. If it is desired to carry theunion within the outer limits of the cilia, the denudation should be made onthe conjunctival side of the cilia (Fig. 777). The denuded surfaces are thensewed together with fine silk or
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
