Hasan Sultan Al, Galindo-Ferreiro Alicia, Bigethi Carolina, Meneghim Roberta L S F, Shaikh Osama Al, Schellini Silvana A
King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Department of Ophthalmology, Rio Hortega University Hospital, Valladolid, Spain.
J Craniofac Surg. 2018 Nov;29(8):e777-e779. doi: 10.1097/SCS.0000000000004744.
This case series present the surgical management of cases with severe contracted sockets using a split-skin-graft wrapped conformer. Eight patients with severely contracted anophthalmic sockets underwent surgery. The surgical technique is described and a chart review was performed to collect patient data pre- and postoperatively. Preoperatively, all patients had grade 3 or 4 contracted sockets with shallow or obliterated fornices and patients were unable to retain an external prosthesis in place. Donor material was harvested from the supraclavicular area. The split-skin-graft was successfully performed in all cases without fornix-deepening sutures. All patients underwent a significant improvement of socket contracture enabling retention of the prosthesis and were satisfied with the outcomes. The split-skin-graft wrapped conformer is a rapid and less surgically challenging option to correct severe contracted anophthalmic sockets.
本病例系列介绍了使用植皮包裹塑形器对严重挛缩性眼窝病例进行的手术治疗。8例严重挛缩性无眼球眼窝患者接受了手术。描述了手术技术，并进行了图表回顾以收集患者术前和术后的数据。术前，所有患者均有3级或4级挛缩性眼窝，穹窿浅或消失，患者无法固定外部假体。供体材料取自锁骨上区域。所有病例均成功进行了植皮，无需穹窿加深缝合。所有患者的眼窝挛缩均有显著改善，能够固定假体，对结果满意。植皮包裹塑形器是纠正严重挛缩性无眼球眼窝的一种快速且手术挑战性较小的选择。
