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无眼球眼眶真皮脂肪自体移植术后并发症

Postoperative Complications of Dermis-Fat Autografts in the Anophthalmic Socket.

作者信息

Starks Victoria, Freitag Suzanne K

机构信息

a Ophthalmic Plastic Surgery Service, Department of Ophthalmology , Massachusetts Eye and Ear, Harvard Medical School , Boston , MA , USA.

出版信息

Semin Ophthalmol. 2018;33(1):112-115. doi: 10.1080/08820538.2017.1353830. Epub 2017 Nov 16.

DOI:10.1080/08820538.2017.1353830
PMID:29144832
Abstract

Reconstruction of the anophthalmic socket allows the use of an ocular prosthesis and rehabilitation of facial appearance. Dermis-fat grafting is one option in volume augmentation of the anophthalmic socket and presents unique benefits, including increased surface area within the socket and the ability to grow with pediatric patients. Postoperative complications of this procedure are relatively common. Minor complications, such as graft hirsutism, keratinization, and conjunctival cysts or granulomas, are managed easily by observation or simple intervention. Major complications, such as graft atrophy, infection, or ulceration, may prevent good prosthesis fit and may require return to the operating room.

摘要

无眼球眼眶重建可使用义眼并恢复面部外观。真皮脂肪移植是无眼球眼眶容积增大的一种选择,具有独特的优势,包括眼眶内表面积增加以及能够随着儿童患者生长。该手术的术后并发症相对常见。轻微并发症,如移植组织多毛症、角化、结膜囊肿或肉芽肿,通过观察或简单干预即可轻松处理。严重并发症,如移植组织萎缩、感染或溃疡,可能会妨碍义眼的良好适配,可能需要再次手术。

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