Manchester Royal Eye Hospital, Manchester, United Kingdom.
Ophthalmic Plast Reconstr Surg. 2011 Jul-Aug;27(4):232-5. doi: 10.1097/IOP.0b013e318202e7e5.
To describe the use of soft tissue expanders for periocular reconstruction in the presence of limited local tissue availability.
A retrospective case series of 5 patients who attended the Manchester Royal Eye Hospital. They presented a reconstructive challenge due either to the presence of periocular scarring or to a marked loss or limitation of normal local skin for reconstruction. The soft tissue expander (SOE-3624 device) was inserted under the skin and subcutaneous tissue at a site selected to provide the desired additional tissue. Over periods of time varying from 6 to 16 weeks, the soft tissue expander was gradually inflated with injections of sterile saline in the outpatient clinic. As soon as the desired amount of additional skin and subcutaneous tissue had been obtained, reconstructive surgery was undertaken. Functional and cosmetic results were the main outcomes of the intervention.
Four of the patients had the device inserted in the lower eyelid or cheek area and one patient had the device inserted above the eyebrow. No episode of tissue necrosis occurred in our patients. All the devices were tolerated by the patients and were removed without any complications. The implant migrated in one patient, limiting the reconstructive surgery, and one patient had a lateral canthal dehiscence following reconstruction. All patients thought that the surgery had improved their cosmesis. No patient required any additional surgical procedures.
The authors conclude that the SOE-3624 tissue expander represents a good option in providing additional tissue for periocular reconstruction, particularly in younger patients. It was well tolerated and effective in this series.
描述在眼周组织有限的情况下，使用软组织扩张器进行眼周重建。
对在曼彻斯特皇家眼科医院就诊的 5 名患者进行回顾性病例系列研究。他们的重建具有挑战性，要么是由于眼周有疤痕，要么是由于正常的局部皮肤大量缺失或限制，无法进行重建。软组织扩张器（SOE-3624 装置）被插入到选择的部位的皮肤和皮下组织中，以提供所需的额外组织。在 6 至 16 周的时间内，在门诊诊所用无菌生理盐水逐渐给软组织扩张器充气。一旦获得所需的额外皮肤和皮下组织量，就进行重建手术。干预的主要结果是功能和美容结果。
4 名患者在下眼睑或脸颊区域插入了该装置，1 名患者在眉毛上方插入了该装置。我们的患者没有发生组织坏死。所有患者都能耐受这些装置，并且在没有任何并发症的情况下将其取出。1 名患者的装置发生了迁移，限制了重建手术的进行，1 名患者在重建后出现了外侧眼角裂开。所有患者都认为手术改善了他们的容貌。没有患者需要任何额外的手术。
作者认为 SOE-3624 组织扩张器是为眼周重建提供额外组织的一种很好的选择，特别是对于年轻患者。在本系列中，它具有良好的耐受性和有效性。
