Mavrikakis Ioannis, Malhotra Raman, Shelley Michael J, Sneddon Kenneth J
Corneo Plastic Unit, Queen Victoria Hospital, East Grinstead, UK.
Orbit. 2006 Sep;25(3):215-9. doi: 10.1080/01676830600671383.
To present a surgical technique for the early maintenance of the severely contracted socket following reconstruction.
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.
Both patients were able to wear and maintain an acceptable prosthesis following the surgical procedure.
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.
介绍一种用于重建后严重收缩眼窝早期维持的手术技术。
在1年时间内确定了2例经过多次手术且反复失败后出现严重收缩眼窝的患者。在穹窿和眼睑重建后，通过标准的贴合器将硅胶固定剂注入穹窿。硅胶围绕一根预先放置的从眶外侧缘穿过至泪后嵴的克氏针固定。3个月时取出硅胶和克氏针。
两名患者在手术后都能够佩戴并维持可接受的义眼。
这是一种用于严重收缩眼窝早期维持的安全有效的方法。该技术可最大程度减少“奶酪线样”现象或挤出，并避免对上、下肌肉及结构造成损伤。
