Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA.
Ophthalmic Plast Reconstr Surg. 2010 Jul-Aug;26(4):273-6. doi: 10.1097/IOP.0b013e3181bf24db.
To describe a technique for simultaneous secondary orbital implantation and dermis fat graft placement for exposed porous implants with significant conjunctival insufficiency.
Retrospective review of 4 consecutive cases.
Charts were reviewed for type and size of exposed porous implant, size of conjunctival defect, history of previous reconstruction for exposure, size and type of implant placed, follow-up interval, complications, ability to retain prosthesis, and cosmesis.
Four patients underwent simultaneous dermis fat graft placement and secondary implantation for exposed and completely avascular orbital implants. The rectus muscles were advanced over the new implant to act as the host bed for the dermis fat graft. All patients tolerated a new prosthesis well, with adequate motility and cosmesis.
Simultaneous secondary implantation and dermis fat graft placement may adequately address avascular porous implant exposure with significant conjunctival insufficiency.
描述一种技术，用于对严重结膜缺损伴多孔性暴露性植入物无血管化的患者，同期进行二期眶内植入物植入和真皮脂肪移植物植入。
回顾性分析连续 4 例病例。
回顾分析患者的病历资料，包括暴露性多孔性植入物的类型和大小、结膜缺损的大小、既往暴露性修复的病史、植入物的大小和类型、随访间隔、并发症、义眼能否保留、以及美容效果。
4 例患者因严重结膜缺损伴多孔性暴露性植入物无血管化，同期行真皮脂肪移植物植入和二期植入术。将直肌向前推进覆盖新植入物，作为真皮脂肪移植物的宿主床。所有患者均能耐受新的义眼，活动度和美容效果良好。
对于严重结膜缺损伴多孔性暴露性植入物无血管化的患者，同期行二期植入物植入和真皮脂肪移植物植入可充分解决该问题。
