Jategaonkar Ameya A, Vernon Dominic, Byrne Patrick J
Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.
Division of Facial Plastics and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, The Johns Hopkins University School of Medicine, Maryland.
Semin Plast Surg. 2019 May;33(2):120-124. doi: 10.1055/s-0039-1685475. Epub 2019 Apr 26.
Aggressive disease such as invasive fungal infections or malignancies may necessitate orbital exenteration. The defects of orbital exenteration are often complex involving adjacent structures. Rehabilitation of the orbital exenteration defect poses unique challenges to the reconstructive surgeon. Various options have been described ranging from secondary intention to microvascular free tissue reconstruction. Here the authors review local/regional options for reconstruction of orbital exenteration defects.
侵袭性疾病,如侵袭性真菌感染或恶性肿瘤,可能需要进行眼眶内容剜除术。眼眶内容剜除术造成的缺损通常很复杂,涉及相邻结构。眼眶内容剜除术缺损的修复给重建外科医生带来了独特的挑战。从二期愈合到微血管游离组织重建,已经描述了各种选择。在此,作者回顾了眼眶内容剜除术缺损重建的局部/区域选择。