真正的肌肉移植用于第三神经麻的管理
Ahmed Awadein1, Christina S Farag1, Sara Maher1
1Ophthalmology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
概括
真正的肌肉移植有效地管理第三神经麻患者的异质性. 这种技术可以纠正较大的偏差,而不会显著限制移除,尽管在较小的切除时可能会出现不足的纠正.
科学领域:
- 眼科医生 眼科 眼科
- 眼 手术 整形外科
- 神经眼科神经眼科
背景情况:
- 第三神经麻可能会导致显著的外型,影响视觉功能.
- 在部分康复或复发的第三神经麻中,大外型的管理存在挑战.
研究的目的:
- 评估两种真正的肌肉移植技术,用于管理第三神经麻患者的异质性.
- 报告手术结果和功能改善.
主要方法:
- 7名患有第三神经麻的患者进行了回顾性图表审查,他们接受了真正的肌肉移植.
- 中间直肠 (MR) 肌肉切除用于在衰退之前延长侧直肠 (LR) 肌肉.
- 自由移植与修改连续移植技术的比较.
主要成果:
- 在7名患者中,有5名患者的术后残留异是<10个PD.
- 引进的平均限制从-4提高到-2.3.3.
- 在大多数患者中,绑架限制是最小的 (-1或更少).
结论:
- 真正的肌肉移植是一种可行的选择,用于纠正第三神经麻中的大型外.
- 足够的中间直肠切除至关重要,以避免不足的纠正.
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