Miyamoto Shimpei, Takushima Akihiko, Asato Hirotaka, Yamada Atsushi, Harii Kiyonori
Department of Plastic and Reconstructive Surgery, School of Medicine, Kyorin University, Tokyo, Japan.
Scand J Plast Reconstr Surg Hand Surg. 2007;41(2):59-64. doi: 10.1080/02844310601104077.
Reconstruction of the eye socket in a free flap transferred after complete excision for malignancy is difficult. Between 1980 and 2005 we secondarily reconstructed five eye sockets in free flaps after resection of cancer, cirsoid haemangioma, and the consequences of irradiation for retinoblastoma. Free flaps were used during the primary operations to cover the defects. The eye socket was then reconstructed during the secondary operations with a conventional skin graft in two cases, and with a skin graft using the modified Antia's method in three cases. All free flaps survived and all eye sockets accepted ocular prostheses. Three patients in particular, whose eye sockets were reconstructed using the modified Antia's method, had excellent results. Here we describe operations and problems related to secondary reconstruction of eye sockets in previously transferred free flaps after complete excision, and describe some typical cases.
恶性肿瘤完全切除后进行游离皮瓣转移的眼窝重建很困难。1980年至2005年间，我们对5例在切除癌症、蔓状血管瘤以及视网膜母细胞瘤放疗后遗症后采用游离皮瓣进行二期眼窝重建。一期手术时使用游离皮瓣覆盖缺损。二期手术中，2例采用传统皮片移植重建眼窝，3例采用改良安蒂亚法皮片移植重建眼窝。所有游离皮瓣均存活，所有眼窝均能接受义眼。特别是3例采用改良安蒂亚法重建眼窝的患者，效果极佳。在此，我们描述了在完全切除后先前转移的游离皮瓣中进行眼窝二期重建的手术及相关问题，并介绍一些典型病例。
