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首页> 外文期刊>Cornea >Conjunctival flap surgery for calcified scleromalacia after cosmetic conjunctivectomy
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Conjunctival flap surgery for calcified scleromalacia after cosmetic conjunctivectomy

机译：化妆品结膜切除术后钙化肺骨癌的结膜皮瓣手术

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摘要

Purpose: To investigate the long-term clinical course of scleromalacia with calcified plaque as a complication of cosmetic conjunctivectomy with topical mitomycin C (MMC) application and to introduce a surgical method for this complication using calcified plaque removal and/or conjunctival flap surgery. Methods: Eleven patients (15 eyes, 17 lesions) were included in this retrospective study. The calcified plaque was removed with forceps and pterygium knife, and the thinned scleral lesion was covered with a conjunctival flap from an intact superior or inferior conjunctiva. Results: There were no cases of scleral thinning or calcified plaque recurrence in patients who underwent conjunctival flap surgery. The mean interval between previous cosmetic conjunctivectomy with postsurgical topical MMC and the first surgical treatment for complications was 20.0 ± 6.4 months. The mean postoperative follow-up duration after last conjunctival flap surgery or calcified plaque removal was 11.6 ± 4.0 months. Conclusions: Scleral calcification and thinning progress as time passes after cosmetic conjunctivectomy with postsurgical topical MMC. Calcified plaque removal with conjunctival flap surgery can be an effective surgical management for this complication, returning blood supply to a thinned sclera.
机译：目的：探讨钙质斑块的长期临床临床过程，作为局部丝霉素C（MMC）应用的化妆品结膜切除术的并发症，并使用钙化斑块去除和/或结膜皮瓣手术引入这种并发症的外科方法。方法：在此回顾性研究中包含11名患者（15只眼，17个病变）。用镊子和翼状胬肉刀去除钙化斑块，并用来自完整的上衣或劣质结膜的结膜皮瓣覆盖稀释的巩膜病变。结果：在接受结膜皮瓣手术的患者中，没有巩膜稀释或钙化斑块复发的病例。先前化妆品结膜切除术与后勤局部MMC的平均间隔和第一次对并发症的手术治疗为20.0±6.4个月。最后结膜瓣手术或钙化斑块去除后的平均术后随访时间为11.6±4.0个月。结论：随着时间的推移，巩膜钙化和稀疏进展与后勤局部MMC的化妆品结膜切除术后。用结膜皮瓣手术进行钙化斑块去除可以是这种并发症的有效手术管理，将血液供应归还给稀疏的巩膜。

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  • 来源
    《Cornea》 |2013年第6期|共5页
  • 作者

    KwonH.J.; NamS.M.; LeeS.Y.; AhnJ.M.; SeoK.Y.;

  • 作者单位

    Institute of Vision Research Department of Ophthalmology Yonsei University College of Medicine;

    Department of Ophthalmology CHA Bundang Medical Center CHA University Gyeonggi South Korea;

    Institute of Vision Research Department of Ophthalmology Yonsei University College of Medicine;

    Department of Ophthalmology Siloam Eye Hospital Seoul South Korea;

    Institute of Vision Research Department of Ophthalmology Yonsei University College of Medicine;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 眼科学;
  • 关键词

    Calcified plaque; Conjunctival flap; Cosmetic conjunctivectomy; Mitomycin; Scleromalacia;

    机译：钙化斑块;结膜皮瓣;化妆品结膜切除术;丝裂霉素;硬膜炎;

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