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带蒂冠状颞肌旋转皮瓣用于全上颌骨切除术后眶底缺损的重建。

Coronoid-temporalis pedicled rotation flap for orbital floor reconstruction of the total maxillectomy defect.

作者信息

Pryor Shepherd G, Moore Eric J, Kasperbauer Jan L, Hayden Richard E, Strome Scott E

机构信息

Mayo Clinic, Department of Otorhinolaryngology, Rochester, Minnesota 55905, USA.

出版信息

Laryngoscope. 2004 Nov;114(11):2051-5. doi: 10.1097/01.mlg.0000147948.51170.a7.

DOI:10.1097/01.mlg.0000147948.51170.a7
PMID:15510043
Abstract

OBJECTIVES

Total maxillectomy creates a significant defect in the supporting framework of the orbit. Successful reconstruction of the deficit requires repair of the orbital floor to prevent early and late complications. This paper describes the recreation of the orbital floor using a coronoid-temporalis sling.

STUDY DESIGN

Retrospective review of two patients who underwent total maxillectomy and subsequent coronoid-temporalis sling reconstruction of the surgical defect.

METHODS

The charts of two patients who underwent coronoid-temporalis reconstruction of the orbital floor were retrospectively reviewed. The outcomes were evaluated. The authors present a method for reconstruction of the orbital floor and discuss the advantages and disadvantages of this method.

RESULTS

Two patients underwent successful reconstruction of the orbital floor with a coronoid-temporalis sling procedure. Both patients display acceptable functional and cosmetic results.

CONCLUSION

Coronoid-temporalis sling is a readily available and easily modified tissue for reconstruction of the orbital floor. It offers similar results to those previously described techniques in this area without need for further extensive surgery.

摘要

目的

全上颌骨切除术会在眼眶的支撑框架上造成严重缺损。成功修复该缺损需要修复眶底以预防早期和晚期并发症。本文描述了使用喙突-颞肌吊带重建眶底的方法。

研究设计

对两名接受全上颌骨切除术并随后使用喙突-颞肌吊带重建手术缺损的患者进行回顾性研究。

方法

对两名接受喙突-颞肌重建眶底手术的患者病历进行回顾性分析。评估治疗效果。作者介绍了一种眶底重建方法,并讨论了该方法的优缺点。

结果

两名患者通过喙突-颞肌吊带手术成功重建了眶底。两名患者均获得了可接受的功能和美容效果。

结论

喙突-颞肌吊带是一种易于获取且易于改良的组织,可用于眶底重建。它提供了与该领域先前描述的技术相似的效果,无需进一步进行广泛手术。

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