METHOD FOR SURGICAL SUBSTITUTION OF CUTANEOUS PALPEBRAL DEFECTS

FIELD: medicine, plastic ophthalmosurgery. ^ SUBSTANCE: the present innovation deals with preparing the defect area due to setting it free against scars followed by carrying out blepharorrhaphy, hydropreparation and local anesthesia by applying an anesthetic, then comes acute skin dissection along separating a full-layer loose skin transplant followed by its simultaneous transfer into area of palpebral defect and fixation by its edges, application of antiseptic preparation and, finally, removal of sutures from the wound and eyelids. Moreover, marking of skin transplant should be performed in donor's area against the lower edge of orbital-palpebral area of the upper palpebral groove and above the same or paired eye. Area if skin transplant corresponds to that of palpebral defect area and its configuration, as well. After simultaneous transfer of skin transplant into palpebral defect area and its preliminary fixation by edges with directing sutures one should apply successive application of compression flat elastoelastic plates made of oligocarbonate methacrylate or polymethacrylate in hexahedral shape at rounded angles and distance between edges being 6-12 mm onto skin transplant, moreover, there openings of hexahedral, oval, round or elliptic shape along the whole surface of plates. Then through the above-mentioned openings one should fix skin transplant along its whole area with interrupted suture to underlying and surrounding tissues in palpebral defect area by capturing the surrounding tissues. Antiseptic preparation should be applied onto plates' surface. Plates and sutures should be removed from the wound on the 3-8th d after operation, and blepharorrhaphic sutures - on the 10-12th d after operation. The method enables to obtain complete adaptation in all cases of color- and structure-homogeneous transplant without its necrosis and detachment, exclude postoperational complications, transplant's wrinkling and secondary deformation of postoperational area. ^ EFFECT: higher efficiency of surgical substitution. ^ 5 cl, 2 ex