Indications and results in anophthalmic socket reconstruction using dermis-fat graft.

Indications and results in anophthalmic socket reconstruction using dermis-fat graft.
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使用真皮脂肪移植物进行了障碍的插座重建。

DOI:
10.2147/opth.s77948
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发表时间:
2015
期刊:
Clinical ophthalmology (Auckland, N.Z.)
影响因子:
--
通讯作者:
Preechawai P
Preechawai P
中科院分区:
其他
文献类型:
--
作者:
Aryasit O;Preechawai P

文献摘要

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提出真皮脂肪移植在无眼窝重建中的适应症并评估该手术的结果。回顾性回顾,介入病例系列。在我们的研究中,2007年8月1日至2012年7月31日期间,有41名患者在Songklanagarind医院接受了初次或二次真皮脂肪移植。我们研究中使用的真皮脂肪移植物类型包括初级真皮脂肪移植物(6/41)和次级真皮脂肪移植物(35/41)。真皮脂肪移植的主要适应症为暴露(13/41)、挤压(11/41)和浅穹窿容积不足(10/41),占总数的82.9%。在平均 32.3±19.0 个月的随访时间内,共有 30 名患者能够佩戴眼假体。单独真皮脂肪移植的成功率为73.3%,而同时真皮脂肪移植和粘膜移植的成功率为25%。真皮脂肪移植最常见的适应症是挤压和大量暴露。真皮脂肪移植是复杂摘除/内脏患者的替代植入类型,具有良好的成功率。
To present the indications for a dermis-fat graft in anophthalmic socket reconstruction and evaluate the results of this procedure. Retrospective review, interventional case series. In our study, there were 41 patients who received either primary or secondary dermis-fat graft between August 1, 2007 and July 31, 2012 at Songklanagarind Hospital. The type of dermis-fat graft used in our study consisted of both primary dermis-fat grafts (6/41) and secondary dermis-fat grafts (35/41). The major indications for dermis-fat graft were exposure (13/41), extrusion (11/41), and volume insufficiency with a shallow fornix (10/41), which accounted for 82.9% of the total cases. A total of 30 patients were able to wear the eye prosthesis over a mean follow-up time of 32.3±19.0 months. The success rate of the dermis-fat graft alone was 73.3%, while that of the simultaneous dermis-fat graft and mucous-membrane graft was 25%. The most common indications for a dermis-fat graft were extrusion and large exposure. Dermis-fat graft is an alternative implant type in complicated enucleation/evisceration patients, which has a good success rate.