Aggarwal Himanshi, Singh Kamleshwar, Kumar Pradeep, Alvi Habib A
Department of Prosthodontics, King George Medical University, Lucknow, India.
J Prosthodont. 2013 Dec;22(8):657-60. doi: 10.1111/jopr.12051. Epub 2013 Apr 1.
A contracted eye socket is a cosmetic blemish to the patient. It not only renders patients unable to wear an eye prosthesis, but also becomes a source of chronic discharge and irritation. Orbital implants allow for cosmesis and volume replacement of an enucleated or eviscerated eye. Alloplastic orbital implants are associated with potential complications, including exposure and extrusion. A dermis-fat graft offers the advantages of relative availability and an autologous nature. This article reports on a patient suffering from severe postenucleation socket syndrome after enucleation of the bulbus with postoperative irradiation of the orbit due to retinoblastoma and its subsequent management by a dermal-fat graft and ocular prosthesis. The purpose of this article is to emphasize the usefulness of dermal-fat grafting as a safe and stable orbital volume replacement following enucleation.
眼球摘除术后眼窝凹陷对患者来说是一种美容缺陷。它不仅使患者无法佩戴义眼，还会成为慢性分泌物和刺激的来源。眼眶植入物可实现眼球摘除或眼内容物剜除术后的美容效果并替代眼眶容积。人工眼眶植入物存在潜在并发症，包括暴露和脱出。真皮脂肪移植具有相对容易获取和自体组织的优点。本文报道了一名因视网膜母细胞瘤行眼球摘除及术后眼眶放疗后出现严重眼球摘除术后眼窝综合征的患者，以及随后采用真皮脂肪移植和义眼进行治疗的情况。本文的目的是强调真皮脂肪移植作为眼球摘除术后安全稳定的眼眶容积替代方法的实用性。
