Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka City University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan.
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Osaka City University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan.
J Plast Reconstr Aesthet Surg. 2014 Mar;67(3):e78-80. doi: 10.1016/j.bjps.2013.08.021. Epub 2013 Sep 12.
The functional and cosmetic results of the reconstructive surgery after extended total maxillectomy greatly depend on the quality of the orbital reconstruction. In order to achieve good orbital reconstruction, we developed the dynamic eye socket reconstruction using temporalis transfer. In this report, I will present the details of the technique, including tips and innovations for dynamic eye socket reconstruction.Two patients (2 males, aged 70 and 72 years old) who underwent extensive resection of midfacial tumours were treated with dynamic eye socket reconstruction using temporalis transfer. The follow up period was 16 and 102 months. No acute complications were observed. The movements of the upper/lower eyelids including crow's feet were observed and a good shape in the reconstructed medial/lateral canthal area was maintained in all patients.This procedure provides both the eyelids with movement and also a good shape in the reconstructed medial/lateral canthal region. Furthermore, it contributes to achieving satisfactory functional and cosmetic results in the orbital reconstruction.
扩展上颌骨切除术的重建手术后的功能和美容效果在很大程度上取决于眼眶重建的质量。为了实现良好的眼眶重建，我们开发了使用颞肌转移的动态眼眶重建。在本报告中，我将介绍该技术的详细信息，包括动态眼眶重建的技巧和创新。两名男性患者（年龄分别为 70 岁和 72 岁）接受了中面部肿瘤广泛切除术，采用颞肌转移进行了动态眼眶重建。随访时间分别为 16 个月和 102 个月。未观察到急性并发症。观察到上/下眼睑（包括鱼尾纹）的运动，并且所有患者的重建内/外侧泪点区域均保持良好的形状。
该手术不仅为眼睑提供了运动，而且还为重建的内/外侧泪点区域提供了良好的形状。此外，它有助于实现眼眶重建的令人满意的功能和美容效果。
