视网膜母细胞瘤术后半侧颜面发育畸形的综合整复术  

Synthetic plastic surgery for hemilateral facial deformity after retinoblastoma operation

作　　者：李冬梅[1] 刘静明[2] 闵燕[1] 朱正宏[2] 

机构地区：[1]首都医科大学北京同仁眼科中心,100730 [2]首都医科大学北京同仁口腔科,100730

出　　处：《中华眼科杂志》2002年第10期614-617,共4页Chinese Journal of Ophthalmology

摘　　要：目的　探讨视网膜母细胞瘤 (retinoblastoma,Rb)术后半侧颜面发育畸形综合整复的效果。方法　对 8例Rb术后半侧颜面发育畸形患者行Ⅱ期手术 ,修复其眶、颧、颞部塌陷及颞部“皮包骨”畸形 ,矫正其眼窝凹陷和结膜囊狭窄。第Ⅰ期手术采用羟基磷灰石 (hydroxyapatite ,HA)块行眶、颧、颞部充填及颞浅筋膜瓣转移覆盖HA块 ,并行HA义眼台眶内植入术 ;术后半年行第Ⅱ期手术 ,采用游离前臂皮瓣或游离皮片移植再造结膜囊。结果　 8例Rb术后半侧颜面发育畸形患者综合整复术后随访 6个月以上 ,患者面部对称 ,外观满意 ,义眼配戴良好。结论　Ⅱ期手术修复Rb术后患者半侧颜面发育畸形 ,虽较Ⅰ期修复手术周期长 ,但修复效果良好 ,患者外观满意。Objective To evaluate the effect of correcting complex deformity of the orbital region and contraction of the eye socket that caused by enucleation and postoperative irradiation for the treatment of retinoblastoma. Methods Depressive deformity of the orbitozygoma was corrected, and a large permanent eye socket was achieved in two stage operation. First stage surgery: Orbitozygomatic deformity reconstruction with hydroxyapatite (HA) and a temporoparietal fascial flap and a HA implant for correction of anophthalmos. Second stage: Free radial forearm flap was adopted for eye socket reconstruction. Results Excellent cosmetic results of this method in 8 cases were demonstrated. Conclusion This method is effective for management of complex deformities of orbitozygoma and contraction of eye socket.

关 键 词：视网膜母细胞瘤 颅面骨畸形 眼球内陷 整形外科 HA义眼台眶内植入术 RB 

分 类 号：R739.7[医药卫生—肿瘤]