Levin P S, Ellis D S, Stewart W B, Toth B A
Department of Ophthalmology, Pacific Presbyterian Medical Center, San Francisco, California.
Ophthalmic Plast Reconstr Surg. 1991;7(2):84-92. doi: 10.1097/00002341-199106000-00002.
Following orbital exenteration, there is a spectrum of immediate and delayed options for orbital reconstruction. Goals of reconstruction after exenteration include detection of recurrent disease, restoration of boundaries between the orbit and surrounding structures, and optimal aesthetics. Local solutions to problems of the exenterated orbit, such as healing by granulation or application of split-thickness skin grafts, are advantageous for detecting recurrent disease. Regional solutions, involving transfer of periorbital tissue into the orbit, may mask recurrent disease and create adjacent deformity; however, these solutions can be used to restore orbital boundaries and shallow the orbital cavity. Distant solutions, such as skin-muscle flaps and free tissue grafts, allow for facial reconstruction in patients with extensive orbital and periorbital defects.
眼眶内容剜除术后，眼眶重建有一系列即时和延迟的选择。剜除术后重建的目标包括检测复发性疾病、恢复眼眶与周围结构之间的边界以及达到最佳美学效果。对于已行眼眶内容剜除术的问题，局部解决方案，如通过肉芽组织愈合或应用中厚皮片，有利于检测复发性疾病。区域解决方案，即将眶周组织转移至眼眶内，可能会掩盖复发性疾病并造成相邻部位畸形；然而，这些解决方案可用于恢复眼眶边界并使眼眶腔变浅。远处解决方案，如皮肌瓣和游离组织移植，可用于广泛眼眶和眶周缺损患者的面部重建。
