中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2008年
1期
75-78
,共4页
Treacher Collins综合征%眶颧再造%Medpor
Treacher Collins綜閤徵%眶顴再造%Medpor
Treacher Collins종합정%광권재조%Medpor
Treacher Collins syndrome%Orbitozygomatic reconstruction%Medpor biomaterial
目的 探讨以眶颧再造和上睑带蒂皮瓣转位的方法治疗Treacher Collins综合征的眼部畸形.方法 从2001～2006年,采用下睑缘切口或冠状切口进路,应用Medpor人工骨材料进行眶颧再造和上睑带蒂皮瓣转位治疗Treacher Collins综合征眼部畸形4例.结果 4例整复再造术均获成功,所有病例对术后的外形改善满意,眶颧部分得到修复,随访3个月至5年,未发现感染或人工材料局部外露等并发症.结论 眶颧再造和上睑带蒂皮瓣转位修复术是治疗Treacher Collins综合征眼部畸形的重要部分,Medpor是目前最理想的人工骨材料,它具有良好的组织相容性,易塑形、无排异不吸收、不复发等优点,可以避免采用自体骨供区的损伤等潜在的并发症.
目的 探討以眶顴再造和上瞼帶蒂皮瓣轉位的方法治療Treacher Collins綜閤徵的眼部畸形.方法 從2001～2006年,採用下瞼緣切口或冠狀切口進路,應用Medpor人工骨材料進行眶顴再造和上瞼帶蒂皮瓣轉位治療Treacher Collins綜閤徵眼部畸形4例.結果 4例整複再造術均穫成功,所有病例對術後的外形改善滿意,眶顴部分得到脩複,隨訪3箇月至5年,未髮現感染或人工材料跼部外露等併髮癥.結論 眶顴再造和上瞼帶蒂皮瓣轉位脩複術是治療Treacher Collins綜閤徵眼部畸形的重要部分,Medpor是目前最理想的人工骨材料,它具有良好的組織相容性,易塑形、無排異不吸收、不複髮等優點,可以避免採用自體骨供區的損傷等潛在的併髮癥.
목적 탐토이광권재조화상검대체피판전위적방법치료Treacher Collins종합정적안부기형.방법 종2001～2006년,채용하검연절구혹관상절구진로,응용Medpor인공골재료진행광권재조화상검대체피판전위치료Treacher Collins종합정안부기형4례.결과 4례정복재조술균획성공,소유병례대술후적외형개선만의,광권부분득도수복,수방3개월지5년,미발현감염혹인공재료국부외로등병발증.결론 광권재조화상검대체피판전위수복술시치료Treacher Collins종합정안부기형적중요부분,Medpor시목전최이상적인공골재료,타구유량호적조직상용성,역소형、무배이불흡수、불복발등우점,가이피면채용자체골공구적손상등잠재적병발증.
Objective To discuss a synthetic plastic method to correct orbitozygomatic and ocular malformations in the patients with Trcacher Collins syndrome.Methods From 2001 to 2006,4 cases of Treacher Collins syndrome were treated with orbitozygomatic reconstruction and musculocutaneous flap transposition from the upper eyelid.In operations,the lateral orbital rim and the mala were exposed by the bicoronal incision or the subciliary incision.The zygomatic bone and lateral wall of the orbit were reconstructed and augmented with Medpor implant.The Correction of the eyelid coloboma was obtained by transposition and advancement of a superior palpebral flap.Results All operations were successful.In all of the patients improved facial contour and symmetry had been.No function disorder were found.Follow-up ranged from 3 months to 5 years.There have been no complications,such as infection and implant exclusion.Conclusion Orbitozygomatic reconstruction and musculocutaneous flap transposition from the upper eyelid offers a stable and predictable technique for improving ocular malformations.It is the most important treatment for Treacher Collins syndrome.Medpor appears no donor injury.
