Liao Yi-Lin, Wu Shu-Ya, Tsai Yueh-Ju
Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou, Taiwan.
College of Medicine, Chang Gung University, Taoyuan, Taiwan.
J Ophthalmol. 2019 Apr 9;2019:7197063. doi: 10.1155/2019/7197063. eCollection 2019.
In anophthalmic patients, shallow lower fornices make wearing ocular prostheses impossible and maintaining normal social activities difficult. This study retrospectively investigated the long-term surgical outcomes of autologous auricular cartilage grafting for contracted orbits. From 1995 to 2013, 29 anophthalmic contracture sockets with inadequate lower fornices and poor prosthesis retention presented to Chang Gung Memorial Hospital in Linkou, Taiwan, were treated using this surgical method. The success rate, aesthetic outcome, recurrence, and complications were analyzed. Among the 29 patients, 15 were women, 14 were men, their mean age was 45 years, and the mean follow-up time was 52 months (range = 6-159 months). Satisfactory lid position was achieved in 25 cases (86%), and lower fornix retraction recurred in four cases (14%). Neither donor site morbidity nor auricular deformity was noted during the follow-up period. Therefore, an auricular cartilage graft can be used successfully as a compatible spacer for anophthalmic patients with shallow lower fornices and prosthesis-fitting problems in long-term follow-up.
在无眼球患者中，下穹窿浅使得佩戴眼假体成为不可能，并且维持正常社交活动也很困难。本研究回顾性调查了自体耳廓软骨移植治疗眼眶挛缩的长期手术效果。1995年至2013年，台湾林口长庚纪念医院收治了29例下穹窿不足且假体固位差的无眼球挛缩性眼窝患者，采用该手术方法进行治疗。分析成功率、美学效果、复发情况及并发症。29例患者中，女性15例，男性14例，平均年龄45岁，平均随访时间52个月（范围6 - 159个月）。25例（86%）实现了满意的眼睑位置，4例（14%）出现下穹窿回缩复发。随访期间未发现供区并发症或耳廓畸形。因此，在长期随访中，耳廓软骨移植可成功用作下穹窿浅且存在假体适配问题的无眼球患者的合适间隔物。
