Reconstruction of the anophthalmic orbit by orbital osteotomy and free flap transfer
Reconstruction of the anophthalmic orbit by orbital osteotomy and free flap transfer
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DOI：
10.1016/j.bjps.2005.11.031
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发表时间：
2007-01-01
影响因子：
2.7
通讯作者：
Zhang, R.
中科院分区：
文献类型：
--
作者：
Zhang, R.
对视网膜母细胞瘤患者眼球摘除术后照射的眼眶进行充分的重建是具有挑战性的。需要重建眼眶结构，重建眼窝和恢复眶周体积。我们回顾了12例眼眶发育不良畸形的患者，他们接受了眼眶截骨术和游离皮瓣移植。轻、中度病例采用眶外侧部“C”形截骨术，重度病例采用经颅入路眶外侧壁、顶、底横向V形截骨术。采用足背游离皮瓣转移，重建眼窝，恢复眶周体积。根据我们的经验，眼眶截骨术与游离皮瓣移植相结合，可以满足无眼眼眶重建的多方面要求，包括眼眶骨扩大和软组织恢复。(c)2006年，英国整形外科医生协会。由爱思唯尔有限公司出版。保留所有权利。
It is challenging to perform an adequate reconstruction of the post enucleation irradiated orbit of patients with rentinoblastoma. Rebuilding of the orbital structure, reconstruction of the eye socket and restoration of periorbital volume are required. We reviewed 12 patients with hypoplastic orbital deformities, who have undergone orbital osteotomy and free flap transfer. Reconstruction of the orbital cavity was achieved using 'C' osteotomy of the Lateral portion of the orbit in mild and moderate cases or transverse V osteotomy of lateral watt, roof, and floor by intra-cranial approach in severe cases. Socket reconstruction and periorbital volume restoration was achieved using dorsalis pedis free flap transfer. From our experience the combination of orbital osteotomy and free flap transfer could meet the multi-requirements for the anophthalmic orbital reconstruction, including both orbital bony enlargement and soft tissue restoration. (c) 2006 The British Association of Plastic Surgeons. Published by Elsevier Ltd. All rights reserved.