Tahara S, Susuki T
Department of Otolaryngology, Kobe University, School of Medicine, Japan.
Ann Plast Surg. 1989 Aug;23(2):112-6. doi: 10.1097/00000637-198908000-00003.
Deformity of the orbital region and contraction of the eye socket were encountered in 3 patients who in their infancy underwent exenteration of the orbit and postoperative irradiation for the treatment of retinoblastoma. These major problems were attributed to the less-vascularized cicatricial conjunctiva left in place. To solve these disadvantages, a microvascular technique using a free radial forearm flap was adopted. A large permanent eye socket was achieved and depression deformity of the orbital region was corrected in a one-stage operation. This is, to our knowledge, the first report on the use of a free vascularized skin flap for "malignant contracture" of an anophthalmic eye socket. The excellent cosmetic results of this method are demonstrated.
3例在婴儿期接受眼眶内容剜除术及术后放疗以治疗视网膜母细胞瘤的患者出现了眶区畸形和眼窝挛缩。这些主要问题归因于残留的血管化程度较低的瘢痕性结膜。为解决这些不足，采用了一种使用游离桡侧前臂皮瓣的微血管技术。在一期手术中获得了一个大的永久性眼窝，并矫正了眶区的凹陷畸形。据我们所知，这是关于使用游离带血管蒂皮瓣治疗无眼球眼窝“恶性挛缩”的首次报道。该方法取得了出色的美容效果。
