49 Paresis of upper eyelid orbicularis with lagophthalmos. See Chapter 3. 1. If possible, discontinue aspirin and nonsteroidal anti-inflammatory agents for 10 days before surgery. Discontinue warfarin 2–3 days preoperatively, if medically possible. 2. Query patient about bleeding tendencies. A useful screening question is asking if the patient had unusual bleeding after dental extraction. Obtain hematological evaluation if bleeding tendency is suspected.
Gold Weight Placement
Indications
Preoperative Proceedure
Instrumentation
Scleral shell
Needle holder
Sutures (6–0 polypropylene)
Toothed forceps
Scissors (e.g., Westcott)
Cautery
Scalpel (e.g., 15 degree blade)
Gold weight of selected size
Skin retractor (e.g., Blair).
Operative Procedure
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