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眼眶重建:眶颧上颌肿瘤切除术后钛网植入

Orbital reconstruction: titanium mesh implant after excision of orbitozygomaticomaxillary tumors.

作者信息

Wolfs Elias, Thatcher Graham P, Soukup Jason W

机构信息

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.

出版信息

Front Vet Sci. 2024 Nov 21;11:1485449. doi: 10.3389/fvets.2024.1485449. eCollection 2024.


DOI:10.3389/fvets.2024.1485449
PMID:39641094
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11617566/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3856/11617566/6b1b37dcd739/fvets-11-1485449-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3856/11617566/7ea4d0f06ad6/fvets-11-1485449-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3856/11617566/662229d06082/fvets-11-1485449-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3856/11617566/f3862307be8c/fvets-11-1485449-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3856/11617566/c2f2ca25d798/fvets-11-1485449-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3856/11617566/8d39f7bff9e0/fvets-11-1485449-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3856/11617566/6b1b37dcd739/fvets-11-1485449-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3856/11617566/7ea4d0f06ad6/fvets-11-1485449-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3856/11617566/662229d06082/fvets-11-1485449-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3856/11617566/f3862307be8c/fvets-11-1485449-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3856/11617566/c2f2ca25d798/fvets-11-1485449-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3856/11617566/8d39f7bff9e0/fvets-11-1485449-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3856/11617566/6b1b37dcd739/fvets-11-1485449-g006.jpg

相似文献

[1]
Orbital reconstruction: titanium mesh implant after excision of orbitozygomaticomaxillary tumors.

Front Vet Sci. 2024-11-21

[2]
Customized Titanium Reconstruction of Orbital Fractures Using a Mirroring Technique for Virtual Reconstruction and 3D Model Printing.

J Oral Maxillofac Surg. 2021-1

[3]
Computer-assisted planning, stereolithographic modeling, and intraoperative navigation for complex orbital reconstruction: a descriptive study in a preliminary cohort.

J Oral Maxillofac Surg. 2009-12

[4]
Application of a maxillary transfacial approach to the caudal oral cavity and orbitozygomaticomaxillary complex in dogs.

Front Vet Sci. 2023-11-30

[5]
Customized Titanium Mesh Based on the 3D Printed Model vs. Manual Intraoperative Bending of Titanium Mesh for Reconstructing of Orbital Bone Fracture: A Randomized Clinical Trial.

Rev Recent Clin Trials. 2017

[6]
Virtual surgery simulation in orbital wall reconstruction: integration of surgical navigation and stereolithographic models.

J Craniomaxillofac Surg. 2014-12

[7]
Customized orbital implant versus 3D preformed titanium mesh for orbital fracture repair: A retrospective comparative analysis of orbital reconstruction accuracy.

J Craniomaxillofac Surg. 2024-4

[8]
Application of Three-Dimensional Printing Technology in the Orbital Blowout Fracture Reconstruction.

J Craniofac Surg. 2019-9

[9]
[Reconstruction of the orbital fracture with enophthalmos using customized titanium mesh combined with Medpor].

Hua Xi Kou Qiang Yi Xue Za Zhi. 2015-6

[10]
Comparison of the Fractured and Non-Fractured Orbit Before and After Surgery Using a Titanium Implant or a Resorbable Poly-d,l-lactic Acid (PDLLA) Implant: A Study from a Single Center in Niš, Serbia of 58 Patients with Unilateral Orbital Floor Fracture Using Volumetric Measurement.

Med Sci Monit. 2023-2-25

本文引用的文献

[1]
Surgical reconstruction of a composite nasomaxillary and superior labial defect in a dog with a fascia lata graft, titanium mesh implant and angularis oris axial pattern flap.

Front Vet Sci. 2024-7-18

[2]
Application of a maxillary transfacial approach to the caudal oral cavity and orbitozygomaticomaxillary complex in dogs.

Front Vet Sci. 2023-11-30

[3]
Virtual surgical planning and 3D printing: Methodology and applications in veterinary oromaxillofacial surgery.

Front Vet Sci. 2022-10-21

[4]
Management of failed stainless steel implants in the oromaxillofacial region of dogs.

Front Vet Sci. 2022-9-23

[5]
Virtual Surgical Planning and 3D Printing in Veterinary Dentistry and Oromaxillofacial Surgery.

Vet Clin North Am Small Anim Pract. 2022-1

[6]
Titanium mesh osteosynthesis for the treatment of severely comminuted maxillofacial fractures in four dogs.

J Small Anim Pract. 2021-10

[7]
Excision of Extensive Orbitozygomaticomaxillary Complex Tumors Combining an Intra- and Extraoral Approach With Transpalpebral Orbital Exenteration.

Front Vet Sci. 2020-12-11

[8]
Ultrasound-guided posterior extraconal block in the dog: anatomical study in cadavers.

Vet Anaesth Analg. 2019-3

[9]
Use of a temporalis fascia transposition flap for ventral orbital stabilization after ventral orbitectomy in a dog.

Vet Surg. 2019-8

[10]
Immunohistochemical Characterization of Canine Oral Papillary Squamous Cell Carcinoma.

Vet Pathol. 2018-3

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