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Hand games, naughty games

机译:手游戏,顽皮的游戏

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We report the case of a 13-year-old child who presented to the ophthalmic emergencies for left eye trauma because of a sore eyelid, while fighting with one of his classmates using pairs of scissors. The clinical examination found a wound on the upper left eyelid with loss of substance of the skin without involvement of the orbicularis muscle (A). Examination of the left eye found a visual acuity preserved at 12/10 without optical correction, a calm anterior segment and a flat retina. Faced with the loss of cutaneous substance, it was decided to perform a total skin graft from the abdominal skin (B). The sample was taken using a scalpel and the graft was defatted. The total skin graft was immediately performed, and sutured with fluted edges to prevent healing in the staircase (C). The patient was seen again 10 days after the graft, with good budding of the graft, and removal of the stitches (D). Pansement fat care has been recommended to allow good healing of the graft. Eyelid sores in children represent a multitude of clinical forms. These wounds require early and appropriate management, with a complete initial clinical examination, to look for lesions of the free edge or lachrymal passages, but also a careful examination of the globe in order to rule out a wound of the globe that would be associated. Their management should be early and specialized, in order to avoid the occurrence of skin retraction, or harmful aesthetic sequelae.
机译:我们举报了一个13岁儿童的案件,因为眼睑疼痛,为左眼创伤的眼科紧急情况提交,同时使用他的剪刀与他的同学争斗。临床检查发现左上眼睑上伤口,皮肤损失而不涉及orbicularis肌肉(a)。左眼检验发现在12/10中保留的视力,无光校正,平静的前段和平坦的视网膜。面对皮肤物质的损失,决定从腹部皮肤(B)进行总皮肤移植物。使用手术刀采集样品,移植物脱落。立即进行外壳贪污,并用凹槽边缘缝合,以防止楼梯(C)中的愈合。移植物后10天再次看到病人,良好的移植芽,并去除针脚(D)。建议使用搅拌脂肪护理,以便良好的接枝愈合。儿童眼睑溃疡代表着众多临床形式。这些伤口需要早期和适当的管理,通过完整的初始临床检查,寻找自由边缘或纳米级通道的病变,也是仔细检查全球,以排除全球的伤口。他们的管理层应该是早期和专业化的,以避免发生皮肤缩回,或有害的美学后遗症。

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