[Repair of the retracted inferior cul-de-sac of cavities of enucleation with fixation to the orbital rim by the double continued suture method].
A technique using two continued sutures is presented to enlarge the inferior conjunctival sac. The mucosal or cutaneous graft is held in position by a direct fixation to the periosteum of the inferior orbital rim without any blepharorraphy. Several methods have been proposed. In this new operative technique a first smooth continued suture is prepared on the periosteum and a second suture is drawn through the graft and each curl of the first one. The advantages are: 1. A strong and permanent fixation to the orbital rim, 2. Without any external suture, 3. A safe procedure. There were no complication and long term follow up revealed no change in the position of the cul de sac in a series of 17 patients.
George
J L
JL
Service d'Ophtalmologie, B, Hôpital de Nancy-Brabois, Vandoeuvre.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005128:Eye Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps; D013536:Suture Techniques
La réparation du cul-de-sac inférieur rétracté des cavités d'énucléation avec fixation au rebord orbitaire par le procédé du "double surjet".