Eye socket reconstruction in patients with severe depressed eye socket combined anophthalmos
10.3760/cma.j.issn.1671-0290.2017.06.007
- VernacularTitle:重度眼窝凹陷合并结膜囊闭锁患者的眼窝重建
- Author:
Tieli SONG
1
;
Dongmei LI
;
Zhiyuan CHEN
;
Weiqiao ZHU
;
Jianyou WU
;
Jingming LIU
Author Information
1. 100730,首都医科大学附属北京同仁医院口腔科
- Keywords:
Depressed eye socket;
Anophthalmos;
Flap;
Eye socket reconstruction
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2017;23(6):382-385
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the effect of eye socket reconstruction in patients with severe depressed eye socket combined anophthalmos and to assess the methods of eye socket reconstruction.Methods Forty patients of severe depressed eye socket combined anophthahnos,from Oct,2001 to Mar,2014,underwent eye socket reconstruction in Beijing Tongren Hospital.Thirty four eye sockets were reconstructed with free flap,the scapular flap in 2 cases,the forearm flap in 17 cases,the lateral arm flap in 15 cases.The reversed submental island flap was utilized in 2 patients.The other 4 cases were treated by implant-retained orbital prosthesis.Results All the patients were followed up for more than 2 years.The flaps survived.The artificial eye could be fitted satisfactorily and the appearance of the ill eye socket was improved significantly.The implant-bodies in orbital bone and the prosthesis were stable without peri-implantitis.Conclusions The flap transfer is effective for eye socket reconstruction in patient with severe depressed eye socket combined anophthalmos.The implant-retained orbital prosthesis is also alternative.The treatment choice must be based on the patient 's own conditions.
