Division of Plastic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Craniofac Surg. 2021 Sep 1;32(6):2078-2081. doi: 10.1097/SCS.0000000000007738.
Frontoethmoidal encephalomeningocele (FEEM) is a congenital anomaly involving herniation of the glial tissues and the meninges. Our unit implemented single-stage repair in 1996, and this was followed by the introduction of the medial orbital composite-unit translocation (MOCUT) technique for encephalocele repair in 2001. This report describes the long-term outcomes of patients who underwent the MOCUT technique. Data were collected on 32 patients operated on between 2005 and 2018. A full analysis was subsequently made of the data from 4 selected patients who had been monitored for at least 5 years, and their age-related anterior interorbital distances were compared. Two of the patients, who had simple forms of FEEM, demonstrated improvements in their intercanthal and anterior interorbital distances, whereas telecanthus was experienced by the 2 other cases, both of whom had complex FEEM types. We recommend using the MOCUT technique for simple types of FEEM (especially Type IA) and patients whose medial canthal ligaments are still anatomically attached to the medial orbits.
额鼻脑膨出（FEEM）是一种涉及神经胶质组织和脑膜疝出的先天性异常。我们科室于 1996 年实施了一期修复，随后在 2001 年引入了内侧眶复合单位移位术（MOCUT）来修复脑膨出。本报告描述了采用 MOCUT 技术治疗的患者的长期结果。我们收集了 2005 年至 2018 年期间接受手术的 32 名患者的数据。随后对至少随访 5 年的 4 名患者的资料进行了全面分析，并比较了他们与年龄相关的眶间距离。2 名具有单纯 FEEM 表现的患者的内眦间距和眶间距离都得到了改善，而另外 2 名具有复杂 FEEM 类型的患者则出现了远距内眦。我们建议对单纯型 FEEM（尤其是 IA 型）和内侧内眦韧带仍与内侧眶区解剖相连的患者采用 MOCUT 技术。
