Aihara M, Sakai S, Matsuzaki K, Ishida H
Department of Plastic and Reconstructive Surgery, St Marianna University, School of Medicine, Kawasaki, Japan.
J Craniomaxillofac Surg. 1998 Oct;26(5):301-5. doi: 10.1016/s1010-5182(98)80058-9.
It is difficult to fit an ocular prosthesis and correct periorbital depression deformity in a patient who has undergone radiotherapy after enucleation of the eye for retinoblastoma during infancy. Simultaneously, developmental disturbances of the eyelids and severe periorbital depression deformities develop. However, due to recent advances in microvascular surgery, free flap transplantation is increasingly used for eye socket reconstruction because of its good circulatory effects with enough volume to augment large periorbital tissue defects. In the present study, we report on our success in using a free groin flap, scapular flaps and parascapular flaps simultaneously for reconstruction of eye sockets and correction of depressed deformities.
对于婴儿期因视网膜母细胞瘤眼球摘除术后接受放疗的患者，安装眼假体并矫正眶周凹陷畸形是困难的。同时，会出现眼睑发育障碍和严重的眶周凹陷畸形。然而，由于微血管外科的最新进展，游离皮瓣移植因其良好的循环效果以及有足够的体积来增加较大的眶周组织缺损，越来越多地用于眼眶重建。在本研究中，我们报告了同时使用游离腹股沟皮瓣、肩胛皮瓣和肩胛旁皮瓣成功进行眼眶重建和矫正凹陷畸形的情况。
