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首页> 外文期刊>Scandinavian journal of plastic and reconstructive surgery and hand surgery >Secondary reconstruction of the eye socket in a free flap transferred after complete excision of the orbit.
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Secondary reconstruction of the eye socket in a free flap transferred after complete excision of the orbit.

机译:完全切除眼眶后,在游离皮瓣中进行眼窝的二次重建。

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摘要

Reconstruction of the eye socket in a free flap transferred after complete excision for malignancy is difficult. Between 1980 and 2005 we secondarily reconstructed five eye sockets in free flaps after resection of cancer, cirsoid haemangioma, and the consequences of irradiation for retinoblastoma. Free flaps were used during the primary operations to cover the defects. The eye socket was then reconstructed during the secondary operations with a conventional skin graft in two cases, and with a skin graft using the modified Antia's method in three cases. All free flaps survived and all eye sockets accepted ocular prostheses. Three patients in particular, whose eye sockets were reconstructed using the modified Antia's method, had excellent results. Here we describe operations and problems related to secondary reconstruction of eye sockets in previously transferred free flaps after complete excision, and describe some typical cases.
机译:完全切除恶性肿瘤后很难重建游离皮瓣中的眼窝。在1980年至2005年之间,我们在切除了癌症,类环状血管瘤和放射对成视网膜细胞瘤的后果之后,再次在游离皮瓣中重建了五个眼窝。在主要手术过程中使用了自由襟翼来覆盖缺陷。然后在二次手术过程中,使用常规的皮肤移植物重建眼窝,其中两种情况是使用改良的Antia's方法重建的,其中有两种情况。所有游离皮瓣均存活,所有眼窝均接受人工眼。特别是三名使用改良的Antia方法重建了眼窝的患者,效果极佳。在这里,我们描述与完全切除后先前转移的游离皮瓣中眼窝的二次重建相关的操作和问题,并描述一些典型情况。

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