Ousterhout D K
Department of Surgery, University of California, San Francisco, USA.
Ophthalmic Plast Reconstr Surg. 1996 Dec;12(4):240-4. doi: 10.1097/00002341-199612000-00005.
This case report describes a technique used for correction of enophthalmos secondary to progressive hemifacial atrophy (Parry-Romberg syndrome). The only previous described technique utilized an orbital floor implant, but this method was apparently only partially successful in correcting the conditions, i.e., it did not correct both the enophthalmos and the pseudoptosis that occurs secondary to intraorbital fatty atrophy. In the present technique, the periorbita was cut at two equators, the globe and anterior periorbita advanced forward, and the resulting empty spaces filled with thin slices of radiated cartilage. Both the enophthalmos and the pseudoptosis were corrected in a single operation. There were no long-term complications and the correction has been maintained 3 years postoperatively.
本病例报告描述了一种用于矫正继发于进行性半侧颜面萎缩（帕里-罗姆伯格综合征）的眼球内陷的技术。此前唯一描述过的技术使用眶底植入物，但该方法在矫正病情方面显然仅部分成功，即它并未矫正眼球内陷以及眶内脂肪萎缩继发的假性上睑下垂。在本技术中，眶周膜在两个赤道平面处切开，眼球和前部眶周膜向前推进，所形成的空隙用放射状软骨薄片填充。在一次手术中同时矫正了眼球内陷和假性上睑下垂。未出现长期并发症，术后3年矫正效果得以维持。
