一期结膜囊和眶颧重建术  

One stage correction of the contracted eye socket and orbitozygomatic hypoplasia\

作　　者：穆雄铮[1] 董佳生[1] 王毅敏 韦敏[1] 冯胜之[1] 关文祥[1] 张涤生[1] 

机构地区：[1]上海第二医科大学附属第九医院整复外科,200011

出　　处：《中华整形外科杂志》2000年第2期99-101,共3页Chinese Journal of Plastic Surgery

摘　　要：目的　修复儿童期眼球摘除及放射治疗后继发眶颧凹陷、结膜囊狭窄或闭锁 ,以重塑中面部外形、安放义眼。方法　经颞部发际隐蔽切口 ,耳后带蒂皮瓣重建结膜囊 ,预成形羟基磷灰石块充填眶颧凹陷 ,颞浅血管蒂筋膜瓣覆盖置入块表面和改善外形。结果　一期再造 16例 ,术后 2～ 3周安放义眼 ,面部对称 ,外形良好。结论　组织瓣和人工骨一期修复放射性眼眶结膜囊畸形 ,可获得良好效果。Objective\ In order to simultaneous correct the contracted eye socket and orbitozygomatic hypoplasia that caused by early ophthalmectomy and radiotherapy.Methods\ The one\|stage surgical procedure for eye socket reconstruction and bone graft coverage included rotation of a postauricular skin flap and a temporal fascial flap.Hydroxyapatite implant was inserted as an onlay bone graft substitute to enlarge the orbitozygomatic region.Results\ In 16 cases using this method,the results were satisfactory and encouraging with minor complications.Conclusion\ This procedure is effective for radiated complex deformities in paraorbit and eye socket.\;

关 键 词：眶颧发育不良 结膜囊狭窄 眶颧重建术 

分 类 号：R779.6[医药卫生—眼科]