眼球摘除术后二期眼眶植入物：一种新的保留结膜技术。
Secondary orbital implants after evisceration: a new conjunctiva-sparing technique.
作者信息
Hart Richard H, Barnes Eric, Dickinson A Jane
机构信息
Eye Department, Royal Victoria Infirmary, Queen Victoria Road, Newcastle-Upon-Tyne, United Kingdom.
出版信息
Ophthalmic Plast Reconstr Surg. 2005 Mar;21(2):129-32. doi: 10.1097/01.iop.0000152548.42995.f0.
PURPOSE
To describe a new conjunctiva-sparing technique for secondary orbital implantation after evisceration.
METHODS
Two patients with conjunctival cicatrization and a volume-deficient anophthalmic socket had implantation of an intraconal biointegratable implant. This was placed through a lateral canthal approach, after temporary disinsertion of the lateral rectus, thereby avoiding further injury to the conjunctiva.
RESULTS
A good surgical outcome was achieved in both patients. There were no intraoperative or postoperative complications, and both have remained stable for nearly 2 years.
CONCLUSIONS
Secondary intraconal implantation through the lateral canthal approach is safe and effective and suitable for patients in whom it is desirable to avoid a conjunctival incision.
目的
描述一种眼球摘除术后二期眼眶植入的保留结膜新技术。
方法
两名结膜瘢痕化且眼眶容积不足的无眼球患者植入了锥内生物可整合植入物。在暂时离断外直肌后，通过外眦入路放置该植入物，从而避免对结膜造成进一步损伤。
结果
两名患者均取得了良好的手术效果。术中及术后均无并发症，且两人近两年来情况一直稳定。
结论
经外眦入路进行二期锥内植入安全有效，适用于希望避免结膜切口的患者。
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