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眶骨切开术联合活骨移植治疗累及眼眶的巨大骨化性肿瘤

Combined use of an orbital osteotomy and living bone graft in the treatment of huge ossifying tumors involving the orbit.

作者信息

Kobayashi S, Ohmori K, Akizuki T

机构信息

Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Police Hospital, Japan.

出版信息

J Craniofac Surg. 1996 Mar;7(2):156-9. doi: 10.1097/00001665-199603000-00017.

DOI:10.1097/00001665-199603000-00017
PMID:8949846
Abstract

Huge ossifying tumors involving the orbit were treated with a combination of craniofacial surgery and microsurgical techniques in two patients. The orbital osteotomy facilitated wide exposure of the tumors and their excision even though the tumors were extremely large. Stable results were obtained in one stage without visual disturbance by simultaneous reconstruction of the resulting bony defects using a free vascularized bone graft even in unfavorable tissue beds such as when one side of the bone graft is exposed to the affected nasal cavity or maxillary sinus. The combination of craniofacial surgery and microsurgical techniques has proven in our experience to be an effective approach to the treatment of a huge orbital ossifying tumor in one stage.

摘要

两名眼眶巨大骨化性肿瘤患者接受了颅面外科手术和显微外科技术联合治疗。眼眶截骨术有助于广泛暴露肿瘤并将其切除,尽管肿瘤极大。通过使用带血管游离骨移植同时重建由此产生的骨缺损,即使在诸如骨移植一侧暴露于患侧鼻腔或上颌窦等不利组织床的情况下,也能在一期获得稳定结果且不造成视觉障碍。根据我们的经验,颅面外科手术和显微外科技术联合是一期治疗眼眶巨大骨化性肿瘤的有效方法。

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