Huguier V, Rousseau P, Robiolle C, Darsonval V, Dagregorio G
Service de chirurgie plastique, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France.
Ann Chir Plast Esthet. 2013 Apr;58(2):159-65. doi: 10.1016/j.anplas.2012.08.007. Epub 2012 Oct 12.
Post-ablative medial canthus and medial orbital wall reconstruction may involve various materials. Few articles present such reconstructions using cartilage homografts, and very few opt for conchal cartilage. In some cases of medial orbital wall excision, at least half of the eyelid must also be removed. We present two cases where we decided to use conchal cartilage to reconstruct the medial orbital wall and tarsomarginal Hübner grafts to reconstruct the eyelid. This combination offers several advantages: a very limited resorption, only one operative field and a reduced infection risk.
消融术后内眦和眶内侧壁重建可能涉及多种材料。很少有文章介绍使用同种异体软骨进行此类重建,选择耳甲软骨的则更少。在一些眶内侧壁切除的病例中,至少一半的眼睑也必须切除。我们介绍两例病例,我们决定使用耳甲软骨重建眶内侧壁,使用睑缘-边缘Hübner移植物重建眼睑。这种组合具有几个优点:吸收非常有限、只有一个手术区域且感染风险降低。