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[Correction of Blepharochalasis (author's transl)]
Abstract:
Blepharochalasis implies the symptom or general term (Kettesy) applied to the slackening and thinning out of the upper lid. From a clinical point of view and in a wide sense this includes Cutix laxa senilis or senile epiblepharon. The following surgical procedures restore the lost contract between the skin and the lid elevator. 1. Upper plapebral furrow formation sutures (Kettesy). 2. Blepharochalasis surgery according to the method of Imre. This is a "mild ptosis operation" which is indicated in advanced slackening and dehiszenz of the Fascia tarso orbitalis. 3. The "controlled skin resection" which permits a testing of the function before the skin resection, prevents the excision of muscle fibres as well as too large and irregular skin stripes and provides for a minimum haemorrhage. For this purpose the skin fold near to the upper tarsal margin is lifted up and marked with running sutures along the line of expected upper palpebral furrow. After resection of the lifted lid skin the scarcely bleeding wound is closed with running sutures.