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目的:探索方便、安全、经济的眶腔人工材料填置物以改善由于眶内容摘除术而造成的面容缺隐。方法:眼眶恶性肿瘤行眶内容及眼睑皮肤全部切除,留下的眶腔用甲基丙烯酸甲脂和聚甲基丙烯酸甲脂为原料,经定模、成型、装入义眼等工序,制作出类似于对侧的如同暖水瓶软木塞样的眼眶赝复体,塞入眶腔用以改善面容。结果:装入眼眶赝复体后,外观上有眼球和眼睑,与对侧相仿。对局部无刺激,无排出现象,极大地改善了外观。结论:眼眶赝复体制作简单,材料便宜,配戴方便、安全,重要的是无须做眼窝重建术,减轻了病人的负担。伤口愈合后直接配戴,有效地改善了面容。
OBJECTIVE: To explore a convenient, safe and economical implant for orbital prosthesis in order to improve facial recession caused by orbital extirpation. Methods: Orbital malignancy was excised from the orbital contents and eyelid skin. The remaining orbital cavity was treated with methylacrylate and polymethacrylic acid as raw materials. Similar to the contralateral side of the thermos flask-like orbital prosthesis, stuffed into the orbital cavity to improve the face. Results: After the orbital prosthesis was installed, there were eyeballs and eyelids on the appearance, similar to the contralateral side. No stimulation on the local, no discharge, greatly improving the appearance. CONCLUSIONS: Orbital prostheses are simple, inexpensive, easy to wear, and safe. It is important not to have oro reconstructions and to reduce the patient’s burden. Wound healing direct wear, effectively improve the face.