Heher K L, Katowitz J A, Low J E
Division of Opthalmology, Children's Hospital of Philadelphia, University of Pennsylvania Medical Center, Pennsylvania, USA.
Ophthalmic Plast Reconstr Surg. 1998 Mar;14(2):81-8. doi: 10.1097/00002341-199803000-00002.
The purpose of this study was to evaluate the role of the dermis-fat graft (DFG) as an orbital implant in the pediatric age group. A retrospective study was made of a series of 16 patients who had undergone unilateral orbital implantation of a DFG. The ages of the patients at the time of surgery ranged from 2 months to 17 years, with followup ranging from 2 to 15 years. Growth of the graft was clinically apparent in the younger children. Increasing proptosis required surgical debulking of the graft in six of eight children who were 4 years old or younger at the time of DFG implantation. None of the eight children who were 9 years or older at the time of DFG implantation required surgical debulking. Indeed, five of the older patients demonstrated some degree of graft atrophy. Dermis-fat grafts placed in the orbits of young children appear to grow after implantation. This growth of the implant may help stimulate orbital growth, potentially leading to more symmetry between the involved and uninvolved sides.
本研究的目的是评估真皮脂肪移植（DFG）作为儿科年龄组眼眶植入物的作用。对一系列16例行单侧眼眶DFG植入术的患者进行了回顾性研究。手术时患者的年龄范围为2个月至17岁，随访时间为2至15年。在年幼儿童中，移植组织的生长在临床上很明显。在DFG植入时年龄为4岁或更小的8名儿童中，有6名因眼球突出增加而需要对移植组织进行手术减容。在DFG植入时年龄为9岁或更大的8名儿童中，无一例需要手术减容。事实上，8名年长患者中有5名出现了一定程度的移植组织萎缩。植入幼儿眼眶的真皮脂肪移植组织在植入后似乎会生长。这种植入物的生长可能有助于刺激眼眶生长，从而有可能使患侧与未患侧之间更加对称。
