A new approach to aesthetic maxillofacial surgery: surgical treatment of unilateral exophthalmos due to maxillary sinus mucocele.
A new approach to aesthetic maxillofacial surgery: surgical treatment of unilateral exophthalmos due to maxillary sinus mucocele.
复制标题
颌面美容手术的新方法：上颌窦粘液囊肿引起的单侧眼球突出的手术治疗。
DOI：
10.1097/scs.0b013e318287d154
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Stratulat,SorinIoan
中科院分区：
文献类型：
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作者：
Costan,VictorVlad;Popescu,Eugenia;Stratulat,SorinIoan
上颌窦黏液囊肿是一种罕见的疾病，它能引起严重的治疗困难，特别是当它侵入眼眶导致眼球突出时。治疗是非常困难的，因为眼球地球仪必须重新定位，面部对称性需要重建作为颧骨入侵的结果。本文报告一例54岁的单侧突眼患者，由于上颌骨黏液囊肿的发展，在破坏颧骨和眶底后向眼眶延伸而导致单侧突眼。治疗包括使用由2个骨碎片组成的颞下颌瓣对眶底和颧骨进行一步修复。在将眼球地球仪放回原位后，重建颅骨缺损的脂质结构和钛网是恢复面部美学所必需的。手术后，病人遵循一个复杂的康复计划，包括按摩运动疗法和心理咨询和支持。这些在心理影响、功能和美学方面对成功的最终结果做出了重要贡献。
Maxillary sinus mucocele, known as a rare condition, can cause major therapeutic difficulties, especially when it invades the orbit leading to exophthalmia. Treatment is very difficult because the eye globe has to be repositioned, and the facial symmetry needs to be reconstructed as a result of malar bone invasion. This article reports the case of a 54-year-old patient with unilateral exophthalmia caused by the evolution of a maxillary mucocele that extended toward the orbit after destroying the malar bone and the orbital floor. The treatment consisted of a 1-step restoration of both the orbit floor and the malar bone using a temporomandibular flap composed of 2 bone fragments. Lipostructure and a titanium mesh to reconstruct the calvarial defect were necessary to restore facial aesthetics after placing back the eye globe in its initial site. After surgery, the patient followed a complex rehabilitation program including massage kinesiotherapy and psychological consultation and support. These had an essential contribution to the successful final outcome in terms of psychological impact, functionality, and aesthetics.