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[侵袭性眼眶肿瘤切除术及颞肌瓣重建术]

[Resection of invasive orbital tumors and reconstruction with temporalis muscle flap].

作者信息

Orenstein A, Borenstein A, Zilinsky I, Tsur H

出版信息

Harefuah. 1989 Jun 1;116(11):573-6.

PMID:2792933
Abstract

3 patients with invasive basal cell carcinoma of the skin which necessitated orbital exenteration are reported. In all 3 treatment was delayed, primary therapy was inadequate and the tumor had reached massive size. Excision of the orbital contents is a radical, mutilating procedure, but in advanced cases of malignant orbital tumors it offers the only chance for survival. The temporalis muscle flap is adaptable, well supplied with blood, and contains a large mass of tissue. Its utilization provides a simple, uncomplicated and effective technique for orbital reconstruction following massive resection. It gives a relatively effective result which is usually acceptable to the patient.

摘要

报告了3例因侵袭性皮肤基底细胞癌而需要进行眼眶内容物剜除术的患者。所有3例患者的治疗均被延误,初始治疗不充分,肿瘤已发展到很大的体积。眼眶内容物切除术是一种根治性的、致残性的手术,但在恶性眼眶肿瘤的晚期病例中,它是唯一的生存机会。颞肌瓣适应性强,血供良好,且含有大量组织。其应用为大规模切除术后的眼眶重建提供了一种简单、不复杂且有效的技术。它能给出相对有效的结果,通常患者也能接受。

相似文献

1
[Resection of invasive orbital tumors and reconstruction with temporalis muscle flap].[侵袭性眼眶肿瘤切除术及颞肌瓣重建术]
Harefuah. 1989 Jun 1;116(11):573-6.
2
[Reconstruction of the orbital roof after tumor resection with a pedicled muscle calvarial flap--the calvaria temporalis flap].带蒂肌颅骨瓣用于肿瘤切除术后眶顶重建——颞肌颅骨瓣
Fortschr Kiefer Gesichtschir. 1994;39:50-2.
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The temporalis muscle plus glabellar flap: handy local flaps for orbital repair after exenteration.颞肌加眉间皮瓣:眶内容剜出术后眼眶修复的实用局部皮瓣。
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Temporalis-pericranial muscle flap with split-thickness skin graft for coverage of large midfacial defects.
Ear Nose Throat J. 1988 Dec;67(12):893-4, 897-8.
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The temporalis muscle flap for head and neck reconstruction.
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6
Staged excision and reconstruction of extensive facial-orbital tumors.
Ophthalmic Surg. 1977 Apr;8(2):91-109.
7
[Repair the infra-orbital defect with a rotation flap after basal cell carcinoma resection].[基底细胞癌切除术后用旋转皮瓣修复眶下缺损]
Zhonghua Zheng Xing Wai Ke Za Zhi. 2002 Mar;18(2):74-5.
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[The surgical approach to invasive orbital tumors].
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Orbital prosthesis following temporal muscle or forehead flap reconstruction: use of optics and illusions.颞肌或额瓣重建后的眼眶假体:光学与错觉的应用
J Prosthet Dent. 1992 Mar;67(3):390-3. doi: 10.1016/0022-3913(92)90255-9.
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Anterior retrograde approach to the myofascial temporalis muscle for orbital reconstruction: series of 9 consecutive cases.用于眼眶重建的颞肌肌筋膜前逆行入路:连续9例病例系列
Ann Plast Surg. 2015 Jan;74(1):37-42. doi: 10.1097/SAP.0b013e31828bb582.