A Sandwich-Like Oral Mucosa Graft-Conjunctiva In Situ-Dermis-Fat Graft for Reconstruction of the Anophthalmic Socket with Ocular Infection History.
A Sandwich-Like Oral Mucosa Graft-Conjunctiva In Situ-Dermis-Fat Graft for Reconstruction of the Anophthalmic Socket with Ocular Infection History.
复制标题
三明治状口腔粘膜移植物 — 原位结膜 — 真皮脂肪移植物用于重建有眼部感染史的无眼窝
DOI：
10.1007/s40123-022-00500-3
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发表时间：
2022-06
影响因子：
3.3
通讯作者：
Li, Jin
中科院分区：
文献类型：
--
作者：
Qi, Qiaoran;Li, Rui;Wu, Yue;Yu, Yu;Lin, Ming;Shao, Chunyi;Li, Jin
本文介绍了一种新技术，即采用口腔粘膜移植物（OMG）-结膜原位-真皮-脂肪移植物（DFG）（OMG-C-DFG）重建一个有眼部感染史的患者的收缩和低容量的无眼眼窝。这是一项回顾性病例研究，涉及4例接受无眼眼窝重建手术的患者，其中应用了OMG-C-DFG技术。手术在上海交通大学医学院第九人民医院眼科（中国上海）进行。术后外观，移植结果，戴义眼的能力，术后并发症进行了评价。患者的中位（±标准差）年龄为41.5 ± 22.1（范围10-60）岁。所有患者均患有收缩和低容量的无眼眼窝。3例患者有眼眶植入物感染史，1例患者有地球仪破裂后外源性眼内炎导致眼球摘除史。DFG和OMG分别取自腹部和下唇。所有4例患者术后外观良好，真皮表面呈现粉红色和光滑，眼眶区域显示良好的丰满度，义眼显示良好的耐磨性，并且没有眼窝狭窄。移植床内无脂质分泌、脂肪溶解物流出或感染。供皮区仅有少量瘢痕，无感染。该结构可有效地用于一期重建有眶内感染史的萎缩、容量低的无眼眼窝。
A novel technique of using a sandwich-like structure, namely, an oral mucosa graft (OMG)–conjunctiva in situ–dermis-fat graft (DFG) (OMG-C-DFG), to reconstruct a contracted and low-capacity anophthalmic socket for a patient with ocular infection history was evaluated. This was retrospective case study of four patients (cases) who underwent anophthalmic socket reconstruction surgery in which the OMG-C-DFG technique was applied. The procedures were performed in the Department of Ophthalmology at the Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine (Shanghai, China). Postoperative cosmetic appearance, graft outcome, the ability to wear an ocular prosthesis, and postoperative complications were evaluated. The median (± standard deviation) age of patients was 41.5 ± 22.1 (range 10–60) years. All patients suffered from contracted and low-capacity anophthalmic sockets. Three patients had a history of orbital implant infection and one patient had a history of enucleation due to exogenous endophthalmitis after globe rupture. The DFG and OMG were harvested from the abdominal region and lower lip, respectively. All four patients achieved a good postoperative appearance, with dermal surfaces appearing pink and smooth, the orbital areas showing good fullness, the ocular prosthesis showing good wearability, and no narrowing of the sockets. There was no lipid secretion, fat lysate outflow, or infection in the graft bed. There were only small amounts of scars and no infection of the donor site. The sandwich-like structure can be effectively used to reconstruct the contracted and low-capacity anophthalmic socket with a history of orbital infection in one stage.
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影响因子：
4.1
作者：
Lin, Chao-Wen;Liao, Shu-Lang
通讯作者：
Liao, Shu-Lang
影响因子：
1.6
作者：
Wang, Kai Jie;Li, Sha Sha;Wang, Hai Yan
通讯作者：
Wang, Hai Yan
DOI：
10.1016/j.bjps.2005.11.031
发表时间：
2007-01-01
影响因子：
2.7
作者：
Zhang, R.
通讯作者：
Zhang, R.
DOI：
10.1080/01676830600671383
发表时间：
2006-01-01
期刊：
ORBIT-AN INTERNATIONAL JOURNAL ON ORBITAL DISORDERS AND FACIAL RECONSTRUCTIVE SURGERY
影响因子：
--
作者：
Mavrikakis, Ioannis;Malhotra, Raman;Sneddon, Kenneth J.
通讯作者：
Sneddon, Kenneth J.
影响因子：
1
作者：
Klassen, Anne F.;Cano, Stefan J.;Pusic, Andrea L.
通讯作者：
Pusic, Andrea L.