摘要
目的:介绍颧骨推进术加颞肌筋膜瓣转移方式修复视网膜母细胞瘤手术放疗后眶颧部萎缩的方法。方法:对4例视网膜母细胞瘤手术放疗后青春期眶颧部萎缩畸形采用颧骨推进术加颞肌筋膜瓣转移方式进行修复,同期行眼窝加深术。术后随访6～18个月。结果:4例手术均取得了成功,无感染等并发症,眶颧部外形恢复好,眶腔眼窝增大。近远期效果满意。结论:颧骨推进术加颞肌筋膜瓣转移方式是修复眶颧骨萎缩畸形的有效方法,具有眶腔成形及软硬组织萎缩同期整复的特点。
Objective: To recommend an operation method of zygomatic advancement simultaneously with the transfer of temporal muscular fascial flap, which is used for orbitozygomatic atrophy reconstruction in postoperative radiotherapy patients for retinoblastoma. Methods: 4 cases of orbitozygomatic atrophy in adolescence due to postoperative radiotherapy for retinoblastoma during infancy were treated by this operation method, and with the reconstruction of eye socked. Each case was followed up 6 to 18 months to observe the effects of the operation. Results: The orbitozygomatic atrophy in each patient was reconstructed successfully, with the satisfactory outline form of orbitozygomatic region. The constricted orbit bone cavity and eye socked were expanded. The long-term effect is as good as postoperative. Conclusion: The zygomatic advancement simultaneously with the transfer of temporal fascial flap is an effective method for orbitozygomatic atrophy reconstruction, which has the advantages of synchronization reconstruction for hard and soft tissue atrophy.
出处
《中国美容医学》
CAS
2002年第2期150-151,共2页
Chinese Journal of Aesthetic Medicine
关键词
眶颧部萎缩
颧骨推进术
颞肌筋膜瓣
外科修复
视网膜母细胞瘤
orbitozygomatic atrophy
zygomatic advancement
temporal muscular fascial flap
surgical reconstruction
