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经结膜入路的并发症。400例病例回顾

Complications of the transconjunctival approach. A review of 400 cases.

作者信息

Mullins J B, Holds J B, Branham G H, Thomas J R

机构信息

Physician Skin Care and Facial Plastic Surgery Center, Sebastian, Fla, USA.

出版信息

Arch Otolaryngol Head Neck Surg. 1997 Apr;123(4):385-8. doi: 10.1001/archoto.123.4.385.

DOI:10.1001/archoto.123.4.385
PMID:9109784
Abstract

OBJECTIVE

To review the intraoperative and postoperative complications of the transconjunctival approach, as well as their prevention, management, and outcomes.

DESIGN

A retrospective study of the complications in 400 patients who underwent the transconjunctival approach to the lower eyelid or orbit for treatment of orbital trauma or the aging face.

SETTING

Academic tertiary referral medical center.

RESULTS

There were 8 cases of conjunctival granuloma, 2 cases of entropion, and 1 case each of hematoma, ectropion, prolonged chemosis, conjunctival inclusion cyst, lower eyelid laceration, and avulsion with lacrimal system injury.

CONCLUSIONS

Complications of the transconjunctival approach are uncommon. When they do occur, proper management results in a successful outcome.

摘要

目的

回顾经结膜入路的术中及术后并发症,以及其预防、处理和结果。

设计

对400例行经结膜入路治疗下睑或眼眶创伤或面部老化的患者的并发症进行回顾性研究。

地点

学术性三级转诊医疗中心。

结果

有8例结膜肉芽肿、2例睑内翻,以及各1例血肿、睑外翻、结膜水肿持续时间延长、结膜包涵囊肿、下睑裂伤和伴有泪道系统损伤的撕脱伤。

结论

经结膜入路的并发症并不常见。当并发症发生时,恰当的处理可带来成功的结果。

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