用于上眼重建的卡特勒-胡须:重新审视手术指示
Elia Franzolin1, Flavia Quaranta Leoni2, Francesco M Quaranta Leoni1,3,4
1Orbital and Adnexal Service, Tiberia Hospital - GVM Care & Research, Rome, Italy.
European journal of ophthalmology
|February 22, 2024
概括
切割者-胡须技术有效地重建了较大的上眼缺陷,大多数患者获得了良好的功能和美学结果. 虽然像输卵管这样的并发症可能发生,但它们通常是可以控制的,很少需要进一步的手术.
科学领域:
- 眼科医生 眼科 眼科
- 整形外科 整形外科 整形外科
- 在瘤学瘤学.
背景情况:
- 较大的全厚上眼缺陷给重建带来了挑战.
- 切割器-胡须双阶段技术是解决这些缺陷的一种方法.
研究的目的:
- 评估卡特勒 - 巴德技术对大上眼缺陷的长期结果.瘤后切除.
- 评估并发症,功能结果和患者满意度.
主要方法:
- 对24名接受了卡特勒 - 巴德重建的患者进行回顾性审查,以检查眼长度≥60%的缺陷.
- 纳入标准要求至少进行24个月的随访.
- 对术后并发症,功能和满意度的评估.
主要成果:
- 平均随访时间为53个月.
- 上眼输入发生在45.8%的患者中,大多数患者的治疗方法是保守的.
- 大多数患者报告了令人满意的功能和美学结果.
结论:
- 切割-胡须技术是大型水平上眼缺陷的有价值的选择,特别是当垂直间隙超过15mm时.
- 很少需要额外的外科手术程序.
- 对于高度恶性瘤切除,可以考虑使用其他方法.
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