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[颞顶带蒂皮瓣用于眼眶重建]

[Temporoparietal pedicled flap for orbital reconstruction].

作者信息

Masić Tarik

机构信息

Klinika za maksilofacijalnu hirurgiju, Klinicki centar Univerziteta u Sarajevu.

出版信息

Med Arh. 2008;62(3):159-61.

PMID:18822945
Abstract

INTRODUCTION

This is excellent technique for orbital cavity reconstruction. The pericranial flap and flap of superficial temporoparietal fascia are supplied by superficial temporal artery and vein. These flaps are used as skin carrier without hairs of retroauricular area that can be moved to area of eye socket.

PATIENT AND METHODS

In twenty patients the temporoparietal peduncular fascial flap (TPFF) for reconstruction of orbital bone defects regardless of etiology. The soft structures and periorbital bones were reconstructed.

RESULTS

The reconstruction gave good esthetic and functional results in all patients that were followed in next six months. In six patients the bottom of eye socket is reconstructed and prepared for eye prosthesis. The occlusion of eye socket is done in ten patients after eye removal. In four patients bone defect were reconstructed with vascular pericranial peduncular flap of parietal bone.

摘要

引言

这是一种用于眼眶重建的出色技术。颞顶筋膜瓣和帽状腱膜瓣由颞浅动静脉供血。这些皮瓣用作耳后无毛区的皮肤载体,可转移至眼眶区域。

患者与方法

20例患者采用颞顶带蒂筋膜瓣(TPFF)重建眼眶骨缺损,病因不限。对软组织和眶周骨进行了重建。

结果

在接下来6个月随访的所有患者中,重建均取得了良好的美学和功能效果。6例患者眼眶底部得到重建并为义眼做了准备。10例患者在眼球摘除后进行了眼眶填充。4例患者采用带血管蒂的顶骨帽状腱膜瓣重建骨缺损。

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