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使用Proplast II作为骨膜下植入物矫正无眼球性眼球内陷。

Use of Proplast II as a subperiosteal implant for the correction of anophthalmic enophthalmos.

作者信息

Shah S, Rhatigan M, Sampath R, Yeoman C, Sunderland S, Brammer R, Leatherbarrow B

机构信息

Manchester Royal Eye Hospital.

出版信息

Br J Ophthalmol. 1995 Sep;79(9):830-3. doi: 10.1136/bjo.79.9.830.

DOI:10.1136/bjo.79.9.830
PMID:7488602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC505269/
Abstract

BACKGROUND

A variety of autogenous and alloplastic materials have been used as subperiosteal implants to correct anophthalmic enophthalmos. Proplast II is a synthetic porous composite of Teflon polymer and alumina. Proplast II offers a number of advantages over other commonly used alloplastic materials such as silicone and polymethyl methacrylate. It is light, porous, resilient, malleable, and easy to shape. It can be readily sterilised after shaping. It has been found to integrate with the surrounding tissues, thereby minimising the risk of subsequent implant migration and extrusion.

METHODS

Proplast II was used as a subperiosteal implant in a total of 15 anophthalmic patients during the period June 1990 to March 1994. The indication for this procedure in all patients was poor orbital volume replacement despite the prior insertion of an adequately sized spherical socket implant.

RESULTS

The results were excellent with a good correction of preoperative upper eyelid sulcus deformity. There were no operative complications nor any serious postoperative complications. The implants were well tolerated.

CONCLUSION

Proplast II can be highly recommended for use as a subperiosteal implant.

摘要

背景

多种自体和异体材料已被用作骨膜下植入物来矫正无眼球性眼球内陷。Proplast II是一种由聚四氟乙烯聚合物和氧化铝组成的合成多孔复合材料。与其他常用的异体材料如硅胶和聚甲基丙烯酸甲酯相比，Proplast II具有许多优点。它质轻、多孔、有弹性、可延展且易于塑形。塑形后可轻松消毒。已发现它能与周围组织整合，从而将后续植入物迁移和挤出的风险降至最低。

方法

1990年6月至1994年3月期间，共15例无眼球患者使用Proplast II作为骨膜下植入物。所有患者进行该手术的指征均为尽管先前已植入尺寸合适的球形眼窝植入物，但眼眶容积替代效果不佳。

结果

效果极佳，术前上睑沟畸形得到良好矫正。无手术并发症，也无任何严重的术后并发症。植入物耐受性良好。

结论

强烈推荐将Proplast II用作骨膜下植入物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c87/505269/b64f230edbf5/brjopthal00021-0042-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c87/505269/466717db6b27/brjopthal00021-0041-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c87/505269/38e456e53970/brjopthal00021-0041-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c87/505269/284d6f744859/brjopthal00021-0042-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c87/505269/f24bd515ff83/brjopthal00021-0042-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c87/505269/4f6ed38fadfa/brjopthal00021-0042-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c87/505269/b64f230edbf5/brjopthal00021-0042-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c87/505269/466717db6b27/brjopthal00021-0041-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c87/505269/38e456e53970/brjopthal00021-0041-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c87/505269/284d6f744859/brjopthal00021-0042-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c87/505269/f24bd515ff83/brjopthal00021-0042-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c87/505269/4f6ed38fadfa/brjopthal00021-0042-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c87/505269/b64f230edbf5/brjopthal00021-0042-d.jpg

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本文引用的文献

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Superior sulcus deformity.肺尖沟畸形。
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A new type of prosthesis for augmentation rhinoplasty: our experience in 1600 cases.一种新型隆鼻假体：我们1600例的经验。
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Ophthalmic Plast Reconstr Surg. 1987;3(3):151-7. doi: 10.1097/00002341-198703030-00007.