Tsukamoto Ayumi, Kobayashi Shinji, Yabuki Yuichiro, Yamada Takayuki, Itou Susumu, Tanaka Yukichi, Maegawa Jiro, Satake Toshihiko
Department of Plastic and Reconstructive Surgery, Kanagawa Children's Medical Center, Kanagawa, Japan.
Department of Neurosurgery, Kanagawa Children's Medical Center, Kanagawa, Japan.
Plast Reconstr Surg Glob Open. 2020 Nov 24;8(11):e3238. doi: 10.1097/GOX.0000000000003238. eCollection 2020 Nov.
This article reports an intraoral approach for a congenital mature teratoma in the orbit, extending into the pterygopalatine fossa and the zygoma remodeling due to biological and functional matrix theory during the neonatal period. The operation took place on the 56th postnatal day due to gradual proptosis of the left eye from the socket. The entire orbital tumor could be surgically removed via the inferior orbital fissure, which had been expanded by the pressure of the tumor. This case suggests that orbital tumors expanding into pterygopalatine fossa can be removed by the intraoral approach because the bone of infants is so soft. The eyeball of the patient was temporarily depressed after the operation, but that was improved by tissue remodeling with time. Therefore, it is recommended that reconstructive surgery for an infant should be performed at the age of 12 months or older.
本文报道了一种针对新生儿期眼眶先天性成熟畸胎瘤的口内入路手术，该肿瘤延伸至翼腭窝并导致颧骨重塑，这是基于生物和功能基质理论。由于左眼逐渐从眼眶突出，手术在出生后第56天进行。整个眼眶肿瘤可通过因肿瘤压迫而扩大的眶下裂进行手术切除。该病例表明，由于婴儿骨骼非常柔软，向翼腭窝扩展的眼眶肿瘤可通过口内入路切除。术后患者眼球暂时凹陷，但随着时间的推移通过组织重塑得到改善。因此，建议对婴儿进行重建手术应在12个月及以上年龄进行。
