自体颞浅动脉移植泪小管搭桥手术

Lacrimal Canalicular Bypass Surgery with Autologous Superficial Temporal Artery Graft.

作者信息

Jamshidian-Tehrani Mansooreh, Kashkouli Mohsen Bahmani, Ghahvehchian Hossein, Amini Mohammad

机构信息

Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Skull Base Research Center, Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

出版信息

J Curr Ophthalmol. 2023 Apr 29;34(4):486-488. doi: 10.4103/joco.joco_98_22. eCollection 2022 Oct-Dec.

DOI:10.4103/joco.joco_98_22

PMID:37180525

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10170988/

Abstract

PURPOSE

To describe superficial temporal artery graft as a new autologous tissue to reconstruct the upper lacrimal drainage system.

METHODS

We explain the history of a 30-year-old female with upper lacrimal drainage system obstruction, in whom conjunctivodacryocystorhinostomy (CDCR) failed to resolve epiphora. A superficial temporal artery graft was harvested, intubated with Masterka tube, and implanted between the conjunctiva and nasal cavity. Masterka was replaced with a thicker dummy tube 12 weeks postoperatively. The adequacy of the graft was checked with irrigation tests in follow-up visits from 1 to 26 months after the procedure.

RESULTS

Superficial temporal artery autograft successfully eliminated epiphora of the patient in whom (CDCR) with Jones tube failed to make her symptom free.

CONCLUSION

Superficial temporal artery autograft as an autogenous tissue with adequate characteristics can be considered in selective patients of upper lacrimal obstruction to reconstruct the lacrimal drainage system.

摘要

目的

描述颞浅动脉移植作为一种新型自体组织用于重建上泪道引流系统。

方法

我们阐述了一名30岁患有上泪道引流系统阻塞的女性患者的病史，该患者行结膜泪囊鼻腔吻合术（CDCR）后溢泪症状仍未缓解。取一段颞浅动脉进行移植，置入Masterka管，然后将其植入结膜与鼻腔之间。术后12周，将Masterka管更换为较粗的假管。在术后1至26个月的随访中，通过冲洗试验检查移植血管的通畅情况。