Surgical Management of the Severely Contracted Socket Following Reconstruction
Surgical Management of the Severely Contracted Socket Following Reconstruction
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DOI：
10.1080/01676830600671383
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发表时间：
2006-01-01
期刊：
影响因子：
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通讯作者：
Sneddon, Kenneth J.
中科院分区：
文献类型：
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作者：
Mavrikakis, Ioannis;Malhotra, Raman;Sneddon, Kenneth J.
目的：探讨眼窝重建术后早期维持眼窝严重收缩的手术方法。方法：在1年的时间里，对2例多次手术后牙槽窝严重收缩并复发失败的患者进行了研究。穹隆及眼皮重建术后，通过标准形成器将硅胶固定剂注入穹隆。硅胶固定在预置的克氏针周围，从眼眶外侧缘到泪后缘。术后3个月取出硅胶和钢丝。结果：两名患者在手术后都能佩戴并保持可接受的假体。结论：这是一种安全有效的方法，可用于严重皱缩的眼窝的早期维护。这项技术最大限度地减少了挤奶酪或挤压，并避免了对上下肌肉和结构的损害。
Purpose: To present a surgical technique for the early maintenance of the severely contracted socket following reconstruction. Methods: Two patients with severely contracted sockets following multiple procedures and recurrent failure were identified over a 1 year period. Following fornix and eyelid reconstruction, silicone fixative was injected into the fornix through a standard conformer. The silicone fixed around a pre-placed K-wire passed from the lateral orbital rim to the posterior lacrimal crest. Both silicone and wire were removed at 3 months. Results: Both patients were able to wear and maintain an acceptable prosthesis following the surgical procedure. Conclusion: This is a safe and effective method for the early maintenance of a severely contracted socket. This technique minimizes cheesewiring or extrusion and avoids damage to superior and inferior muscles and structures.