Management of porous polyethylene implant exposure in patients with retinoblastoma following enucleation.
Management of porous polyethylene implant exposure in patients with retinoblastoma following enucleation.
复制标题
视网膜母细胞瘤患者摘除后多孔聚乙烯植入物暴露的处理。
DOI：
10.3928/1542-8877-20041101-03
复制
发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Y. Yu
中科院分区：
文献类型：
--
作者：
Jonghyun Kim;S. Khwarg;H. Choung;Y. Yu
背景与目的
报告视网膜母细胞瘤患者眼球摘除术后多孔聚乙烯植入物暴露的特点和处理。
患者和方法
回顾性分析了33例视网膜母细胞瘤患者（33个牙槽）行眼球摘除和多孔聚乙烯植入术的病历。
结果
眼球摘除时的平均年龄为24个月（范围，2至85个月）。暴露率为33%（11例），从眼球摘除到暴露的平均时间为15个月（范围，7至29个月）。1例仅通过支持性治疗解决，其余10例采用巩膜补片移植成功治疗，并在手术修复后平均15个月的随访期间保持良好。没有统计学证据表明年龄、性别、植入体尺寸或化疗对植入体暴露有影响。
结论
多孔聚乙烯植入物暴露似乎无法通过保守治疗解决。我们建议早期手术治疗，如巩膜补片移植，而不是支持性治疗。
BACKGROUND AND OBJECTIVE
To report the features and the management of porous polyethylene implant exposure in patients with retinoblastoma following enucleation.
PATIENTS AND METHODS
The medical records of 33 patients (33 sockets) following enucleation and porous polyethylene implantation for retinoblastoma were reviewed.
RESULTS
The mean age at enucleation was 24 months (range, 2 to 85 months). The exposure rate was 33% (11 cases), and the mean time from enucleation to exposure was 15 months (range, 7 to 29 months). One case was resolved only by supportive management, and the remaining 10 were successfully treated with a scleral patch graft and maintained well during a mean follow-up of 15 months after surgical repair. There was no statistical evidence that age, gender, implant size, or chemotherapy had an effect on implant exposure.
CONCLUSIONS
Porous polyethylene implant exposure does not seem to be resolved by conservative management. We recommend early surgical management, such as scleral patch graft, as opposed to supportive management.