Jan314
Contributor
One of our opthalmologist surgeons did a left midface suborbicularis orbital fascai lift (soof), with a left lower lid ectropian repair by lateral tarsal strip canthopexy. I having a difficult time trying to figure out the SOOF code, I have 67917 for the tarsa strip canthopexy. below are note
A lateral cathotomy was prformed with the ellman cutting needle, the inferior crus of the lateral canthal tendon was severed with sharp scissors. the lid was then freed by severing the septal attachments to the orbital rim and pulled laterally in order to determine the amt of shrtening. Once this was determined, another incision was made with sharp scissors to visualize bare periosteum, hemostasis was obtained . through the lateral canthal incisions a blunt dissection below the SOOF and jsut above the periosteum was performed and continued inferior to the zygomatic arch. With the midface undermined, a single horizontal mattres 5-0 prolene suture was secured subfascial and secured to the periosteum in front of the lateral orbial rim. they myocutaneious SOOF flap was elevated so as not to create any dimpling or redundancy of skin, the lateral tarsal strip was then sutured to the periosteum inside the lateral orbital rim using two interrupted 5-0 vicyrl sutures. The orbicularis was sutured over the canthopexy with a 2 interuupted 6-0 chromic sutures. The skin over thte lateral canthal angle was closed with interruped 6-0 chromic sutures also.
Direction would be greatly appreciated. Thanks!
Alba
A lateral cathotomy was prformed with the ellman cutting needle, the inferior crus of the lateral canthal tendon was severed with sharp scissors. the lid was then freed by severing the septal attachments to the orbital rim and pulled laterally in order to determine the amt of shrtening. Once this was determined, another incision was made with sharp scissors to visualize bare periosteum, hemostasis was obtained . through the lateral canthal incisions a blunt dissection below the SOOF and jsut above the periosteum was performed and continued inferior to the zygomatic arch. With the midface undermined, a single horizontal mattres 5-0 prolene suture was secured subfascial and secured to the periosteum in front of the lateral orbial rim. they myocutaneious SOOF flap was elevated so as not to create any dimpling or redundancy of skin, the lateral tarsal strip was then sutured to the periosteum inside the lateral orbital rim using two interrupted 5-0 vicyrl sutures. The orbicularis was sutured over the canthopexy with a 2 interuupted 6-0 chromic sutures. The skin over thte lateral canthal angle was closed with interruped 6-0 chromic sutures also.
Direction would be greatly appreciated. Thanks!
Alba