Atabay K, Atabay C, Yavuzer R, Demirkan F, Latifoğlu O
Department of Plastic and Reconstructive Surgery at Gazi University, Ankara, Turkey.
Plast Reconstr Surg. 1998 May;101(6):1463-70; discussion 1471-2. doi: 10.1097/00006534-199805000-00005.
Reconstruction of the exenterated orbit is a difficult problem with several advantages and disadvantages. Satisfactory reconstructive results for both the physician and the patient may need multistage operations that are time consuming and disfiguring. A simple and effective one-stage technique that combines two regional flaps is described for reconstruction of deformities of orbital exenteration. A temporalis muscle flap is transposed for orbital filling, and a prefabricated frontal island flap based on superficial temporal vessels is used for eye socket and eyelid reconstruction. For patients who oppose living with exenteration deformity and request quicker reconstruction, this new and simple technique may be used successfully.
眼眶内容剜除术后的重建是一个存在诸多利弊的难题。对医生和患者而言，满意的重建效果可能需要耗时且会造成容貌毁损的多阶段手术。本文描述了一种简单有效的单阶段技术，该技术结合了两个局部皮瓣用于眼眶内容剜除术后畸形的重建。将颞肌瓣转移用于眼眶填充，基于颞浅血管的预制额部岛状皮瓣用于眼窝和眼睑重建。对于不愿接受眼眶内容剜除术后畸形并要求更快重建的患者，这种新的简单技术可能会成功应用。
