Miyasaka Muneo, Tanaka Rica, Hanai Ushio, Yamazaki Akihisa, Iida Masahiro, Akamatsu Tadashi
Department of Plastic and Reconstructive Surgery, Tokai University School of Medicine, Isehara-shi, Kanagawa, 259-1193, Japan.
Tokai J Exp Clin Med. 2008 Apr 20;33(1):35-8.
Silicone was one of the most common biocompatible materials used for orbital floor reconstruction about twenty to thirty years ago. Recently, surgeons hardly use silicone due to numerous reports of complications such as infection, extrusion and implant displacement. We present a case of chronic infection seen after 28 years of silicone implant used in orbital floor repair. Although it is reported that infection due to silicone implant may decrease after long years of follow up, our case demonstrated the possible case of unexpected infection after more than twenty years with orbital silicone implant.
大约二十到三十年前,硅胶是用于眶底重建的最常见生物相容性材料之一。最近,由于有大量关于感染、挤出和植入物移位等并发症的报道,外科医生几乎不再使用硅胶。我们报告一例在使用硅胶植入物进行眶底修复28年后出现慢性感染的病例。尽管有报道称,硅胶植入物引起的感染可能会在多年随访后减少,但我们的病例显示了在使用眶部硅胶植入物二十多年后可能出现意外感染的情况。