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Further Experience With the Pinch Technique for Repair of Eyelid Deformities

Further Experience With the Pinch Technique for Repair of Eyelid Deformities Abstract • The pinch technique has been found to be useful in repairing cosmetic eyelid deformities. However, the local anesthetic containing hyaluronidase must be injected only in small amounts and only into the subcutaneous space. Scar tissue and skin that is firmly adherent to underlying muscle do not yield a satisfactory ridge, and therefore, the pinch technique should not be used. Ectropion can be predicted by the observation of eversion of the lid margin when even only minimal skin is pinched, and impending ectropion can be discovered by our "lean forward and look up" maneuver. An ectropion repair can then be combined with the blepharoplasty surgical operation. The pinch technique has also been found useful when upper and lower blepharoplasties are joined laterally to elevate the lateral canthus and eliminate "crow's feet." One component of a repair of trichiasis also involves the use of the pinch technique. References 1. Parkes M, Fein W, Brennan HG: Pinch technique for repair of cosmetic eyelid deformities . Arch Ophthalmol 89:324-328, 1973.Crossref 2. Callahan A: Reconstructive Surgery of the Eyelids and Ocular Adnexa . Birmingham, Ala, Aesculapins Publishing Co, 1966, pp 140-157. 3. Gonzales-Ulloa M, Stevens E: Senile eyelid correction , in Smith B, Converse JM (eds): Proceedings of the Second International Symposium on Plastic and Reconstructive Surgery of the Eye and Adnexa . St Louis, CV Mosby Co, 1967, pp 354-361. 4. Last RJ: Wolff's Anatomy of the Eye and Orbit , ed 5. Philadelphia, WB Saunders Co, 1961, p 175. 5. Fein W: Surgical repair for distichiasis, trichiasis, and entropion . Arch Ophthalmol 94:809-810, 1976.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Further Experience With the Pinch Technique for Repair of Eyelid Deformities

Archives of Ophthalmology , Volume 94 (9) – Sep 1, 1976

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1976.03910040368012
Publisher site
See Article on Publisher Site

Abstract

Abstract • The pinch technique has been found to be useful in repairing cosmetic eyelid deformities. However, the local anesthetic containing hyaluronidase must be injected only in small amounts and only into the subcutaneous space. Scar tissue and skin that is firmly adherent to underlying muscle do not yield a satisfactory ridge, and therefore, the pinch technique should not be used. Ectropion can be predicted by the observation of eversion of the lid margin when even only minimal skin is pinched, and impending ectropion can be discovered by our "lean forward and look up" maneuver. An ectropion repair can then be combined with the blepharoplasty surgical operation. The pinch technique has also been found useful when upper and lower blepharoplasties are joined laterally to elevate the lateral canthus and eliminate "crow's feet." One component of a repair of trichiasis also involves the use of the pinch technique. References 1. Parkes M, Fein W, Brennan HG: Pinch technique for repair of cosmetic eyelid deformities . Arch Ophthalmol 89:324-328, 1973.Crossref 2. Callahan A: Reconstructive Surgery of the Eyelids and Ocular Adnexa . Birmingham, Ala, Aesculapins Publishing Co, 1966, pp 140-157. 3. Gonzales-Ulloa M, Stevens E: Senile eyelid correction , in Smith B, Converse JM (eds): Proceedings of the Second International Symposium on Plastic and Reconstructive Surgery of the Eye and Adnexa . St Louis, CV Mosby Co, 1967, pp 354-361. 4. Last RJ: Wolff's Anatomy of the Eye and Orbit , ed 5. Philadelphia, WB Saunders Co, 1961, p 175. 5. Fein W: Surgical repair for distichiasis, trichiasis, and entropion . Arch Ophthalmol 94:809-810, 1976.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Sep 1, 1976

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