evor sie dann irgendwann so aussehen ! Frühjahrsseminar der Tierärztlichen Überweisungspraxis Bremen 10.03.2012
\ j \ \ skin flap adequately from its su bcutaneous attachments, the skin flap is moved into the defect thereby collapsing the Burow's triangles (Fig, 5,62c), 3, Before apposition of the skin flap, adjacent palpebral and fornix conjunctiva is mobilized to cover the deeper aspect of the skin flap, Other sources for mucosa to line the skin flap include the tarsopalpebral conjunctiva from the upper lid and a free or island graft üf bucca[ m ucosa, This dissection Verschiebeplastik sides of the skin flap are apposed with 4-0 to 6-0 simple interrupted non-absorbable sutures (Fig, 5,62d), The conjunctiva is attached to the püsterior aspects ofthe skin flap by 4-0 to 6-0 simple interrupted absorbable sutures with the knots buried or exposed on the eyelid flap skin. 5, If some tension can be demonstrated on the skin flap, a complete temporary tarsorrhaphy is performed and left in place for 4-6 weeks to provide counter-tension, ,. I, I I I , , , I I :-- ------------~ j I j \ 1 I trI I (a) ~- I , j , I " , I' " I , 1 ,~ I ~- \ \ I ., 1 / , ,/ \ r , ; 1 /; "/ v (J) jO ";3pJ ilUlPB"[ g'il 'pUl10M "ljl 01UI P"AOlU SI dULl "ljl 'ljB.LH UDls ~lIlJ"pun UOlP"SSIP SnO"lIBjn;)qns "AlSlI;)I'" ""1JV (:J) (panTIl/llo:J) 19S '!:lId FIG, 5,62 (a) For the sliding skin graft, after fllll-thickness excision ofthe eyelid neoplasm two slightly diverging skin incisions are continllcd from the base of the wOllnd, These skin incisions ShOllld be twice as [ong as the height of the elefeet. (b) Two equal size triang[es (Burow's triangles) of skin are excised to facilitate shifting the graft into the surgical wound, p"ldnJ.1"lLIl g[duliS 0-901 0-17 ,(q pgJn:J"s SI lju.1il U"IS gljl (p) 'UI;3.1UllI P'l",(g lUg;)BrpB JLJI "AOqU UllU O'l-~'O "q Pjll0LJS ]JBJil UI)JS "LJl BSO;)nlll\BJ:Jllq 'BA!l:Jullfuo:J IB.lqgcllBd lUJ;)BrpU LUO.1j'USO:JIlLUljlIM pgUll "q jSnUl UU.l;3 unIS gljljO spgdsu 101.l"lSod ""ll's".InlnS "lquq.losqB-uou 'g,(g "11S0elclo gljl jO BAIPUllrUO:J ,lBqjllq UlOJJ 1}B.lZi puulsl UU.10 'P!PAd Jdddn dql JO SlJd]dP [BJdl"C].10] PdPUdWWOJdJ S! pUB dBU uqs BU!pqS dq1 JO UO!1"EJ!J!POWB S!A1SBId,Z, dIll Frühjahrsseminar der Tierärztlichen Überweisungspraxis Bremen 10.03.2012 '(179'