获得性眶骨畸形与缺损的整复  

Reconstruction of the acquired orbital deformities

作　　者：余东 归来 李青峰[2] 穆雄铮[2] 

机构地区：[1]中国医学科学院整形外科医院,北京100144 [2]上海交通大学医学院附属第九人民医院整复外科

出　　处：《中华整形外科杂志》2008年第6期413-415,共3页Chinese Journal of Plastic Surgery

摘　　要：目的探讨获得性眶骨畸形的修复重建方法。方法采用头皮冠（半冠）状切口、下睑睫毛缘下切口以及口内龈颊沟切口入路，个别患者采用眶周原有的瘢痕做切口，对眶壁骨组织进行截骨复位，或移植下颌骨外板修复眶骨缺损，以完成眼眶完整性的重建。结果2002年9月至2006年6月，共治疗64例获得性眶骨畸形，术后患者恢复了正常的眼眶结构和眼球位置，无严重并发症发生。结论获得性眶骨畸形的治疗应以恢复眼眶的完整性为重要治疗目标，以截骨复位矫正眶周畸形、自体下颌骨外板为材料修复骨缺损，有较好的临床治疗效果。Objective To investigate the reconstruction of acquired orbital deformities. Methods Through coronal incisions, subeiliary incisions and buecal sulcus incisions, or periorbital wound, the displaced orbital walls were repositioned after osteotomy. And the mandibular outer cortex was used to repair the bone defect, so as to restore the orital integrity. Results From Sept. 2002 to Jun. 2006, 64 patients with acquired orbital deformities were treated. The integrity of orbit and eyeball location recovered very well. Conclusions Restoration of the orbital integrity is the key to the treatment of acquired orbital deformities. The periorbital deformities should be corrected after osteotomy with mandibular outer cortex for bone defect.

关 键 词：眼眶畸形 获得性 修复重建 临床治疗 

分 类 号：R779.1[医药卫生—眼科]