Wolfs Elias, Thatcher Graham P, Soukup Jason W
Dentistry and Oromaxillofacial Surgery, Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, United States.
Capital City Specialty & Emergency Animal Hospital, Ottawa, ON, Canada.
Front Vet Sci. 2024 Nov 21;11:1485449. doi: 10.3389/fvets.2024.1485449. eCollection 2024.
Pathologic lesions of the orbitozygomaticomaxillary complex (OZMC) and caudal oral cavity can be a challenge in veterinary oromaxillofacial surgery. Neoplastic lesions that are in close proximity to or invading the orbit may result in significant loss of structural integrity after curative intent surgery. This in turn may alter the topography of the bulbous oculi (globe) with resultant enophthalmos, diplopia, and entropion. Historically, orbital exenterations have been deemed a suitable option to avoid these complications. However, lesions that do not include the globe in the surgical margin may be overtreated by irreversible orbital exenterations. Orbital reconstruction methods that ameliorate these consequences could be advantageous. A novel approach to reconstruct the orbit with a titanium mesh implant is described and the clinical and ophthalmic outcomes reported.
眶颧上颌复合体(OZMC)和口腔尾部的病理性病变在兽医口腔颌面外科手术中可能是一项挑战。靠近眼眶或侵犯眼眶的肿瘤性病变在进行根治性手术后可能会导致结构完整性的显著丧失。这进而可能改变眼球的形态,导致眼球内陷、复视和睑内翻。从历史上看,眼眶内容剜除术被认为是避免这些并发症的合适选择。然而,手术切缘不包括眼球的病变可能会因不可逆转的眼眶内容剜除术而受到过度治疗。改善这些后果的眼眶重建方法可能具有优势。本文描述了一种使用钛网植入物重建眼眶的新方法,并报告了临床和眼科结果。
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