论文部分内容阅读
目的 为了寻找一种更好的手术方法,以提高因各种原因导致眼球摘除或眼内容物剜出后眼窝凹陷行羟基磷灰石(HA)义眼座植入矫正的手术成功率,减少其手术的各种并发症。方法 对73例(73眼)患者采用一种改良的HA眼座植入的手术方式,即保留自体巩膜、不断离眼外肌,直接将巩膜壳从颞上至鼻下作斜线劈开,将HA球体用塑料薄膜包裹直接导入巩膜肌锥腔内,并行巩膜办重叠加固。结果 经随访8～54个月,全部术眼均为一期愈合,无创口裂开,植入体暴露、移位,上眶窝凹隐。义眼外观逼真、活动度明显改善。结论 采用这一改良术式不仅能简化手术步骤、减少术中损伤及术后反应,而且可显著提高术后外观的整体效果。
Objective To find a better surgical method to improve the success rate of surgical correction of hydroxyapatite (HA) ocular prosthesis implantation after enucleation of eyeballs or eyeballs after the eyeballs have been ejected out for various reasons, Various complications of surgery. Methods 73 patients (73 eyes) were treated with modified ocular ocular prosthesis, which retained the sclera of the sclera and continuously separated from the external ophthalmus. The scleral shell was split directly from the superior temporal to the nasal subepithelium. The HA sphere wrapped with plastic film directly into the scleral muscle cone, parallel sclera do overlapped reinforcement. Results The patients were followed up for 8 to 54 months. All the eyes were healed one time without any dehiscence. The implants were exposed and displaced, and the upper orbital fossa was concave. Eye looks vivid, significantly improved activity. Conclusion The improved surgical procedure can not only simplify the operation procedure, reduce intraoperative injury and postoperative response, but also significantly improve the overall appearance of the postoperative appearance.