Meleca R J, Mathog R H
Department of Otolaryngology, Wayne State University School of Medicine, Detroit, Mich.
Arch Otolaryngol Head Neck Surg. 1994 Jan;120(1):49-55. doi: 10.1001/archotol.1994.01880250045006.
Prosthetic rehabilitation of the anophthalmic orbit may result in a syndrome characterized by retrodisplacement and tilt of the prosthesis, deepening of the upper eyelid sulcus, retraction of the upper eyelid, and stretching of the lower eyelid. Patients requiring enucleation of the orbit following trauma can also have accentuation of the enophthalmos, with hypophthalmos and displacement of the malar eminence. These cosmetic defect are difficult to manage, and a number of corrective surgical techniques have been described. In this study we review the pathophysiology of the anophthalmic orbit and present our recent experience utilizing the strategic placement of iliac crest bone grafts to compensate for the bony and soft-tissue injuries associated with traumatic loss of the globe. All six patients experienced subjective and objective improvement postoperatively. Results are presented as case presentations with accompanying photographs and follow-up data.
无眼球眼眶的假体修复可能会导致一种综合征，其特征为假体后移和倾斜、上睑沟加深、上睑退缩以及下睑拉伸。因外伤而需要摘除眼眶的患者还可能出现眼球内陷加重、眼球过低以及颧骨突出移位的情况。这些美容缺陷难以处理，已有多种矫正手术技术被描述。在本研究中，我们回顾了无眼球眼眶的病理生理学，并介绍了我们最近利用髂嵴骨移植的策略性放置来补偿与外伤性眼球缺失相关的骨和软组织损伤的经验。所有六名患者术后均有主观和客观上的改善。结果以病例报告形式呈现，并配有照片和随访数据。
