頁籤選單縮合
題名 | The Versatile Use of Hard Palate Mucosal Grafts in Oculoplastic Reconstruction=硬顎黏膜瓣在眼整形手術之應用 |
---|---|
作者 | 黃韻穎; 廖述朗; 周介仁; 侯平康; 陳慕師; | 書刊名 | 慈濟醫學 |
卷期 | 14:3 2002.06[民91.06] |
頁次 | 頁139-146 |
分類號 | 416.703 |
關鍵詞 | 硬顎黏膜瓣; 眼瞼倒縮; 眼皮腫瘤; 眼球摘除術後眼窩萎縮; Hard palate mucosal grafts; Lid retraction; Eyelid tumor; Contracted anophthalmic socket; |
語文 | 英文(English) |
中文摘要 | 目的:對於眼瞼畸形、眼瞼缺損、或眼球摘除術後眼窩萎縮的治療,選擇適當的植入物是手術成功的必要條件。近年來硬顎黏膜瓣已經成功地被應用在眼部整形手術當中。以下就臺大醫院的經驗提出報告。病人與方法:自1999年8月至2000年9月,總計有十位病患接受硬顎黏膜瓣植入手術,其中七例為下眼瞼倒縮合併角膜暴露病變,兩例為眼皮腫瘤切除後之眼瞼缺損,一例為眼球摘除術後眼窩萎縮。結果:七例下眼瞼倒縮之病患,接受手術後之下眼瞼位置均回到正常,角膜病變亦改善;兩例腫瘤切除後眼瞼缺損之病患,於同一次手術接受硬顎黏膜瓣與局部皮膚瓣重建手術,術後眼部外觀幾近正常;一例眼球摘除術後眼窩萎縮之病患,術後可以重新配戴義眼並且不會滑脫。所有病患之硬顎黏膜傷口皆癒合良好,無併發症發生;移植之黏膜瓣於術後追蹤時並未發現有明顯萎縮之情形。結論:硬顎黏膜瓣是一個容易取得而結構良好穩定的植入物,其手術之結果令病患與醫師皆十分滿意。 |
英文摘要 | Objective: Reconstruction of eyelid deformities, eyelid defects, or contracted anophthalmic sockets requires suitable grafts to achieve good cosmetic and functional outcome. Recently, hard palate mucosal grafts have been successfully applied in oculoplastic reconstruction. We report our experience using these grafts. Patients and Methods: From August 1999 to September 2000, ten patients received hard palate mucosal grafts; seven patients had lower lid retraction complicated by exposure keratopathy, two had eyelids with defects after malignant tumor excision, and one had a contracted anophthalmic socket. Results: After surgery, all seven patients with lower lid retraction had less scleral show and had proper lower eyelid position without corneal problems. The patients with malignant eyelid tumors had good cosmetic results after tumor excision followed by reconstruction with palatal grafts and local skin flap. The patient with the contracted socket was able to wear a prosthesis after grafting surgery. There was no major morbidity of the donor site. Little shrinkage occurred in these grafts during follow-up. Conclusion: Hard palate mucosal grafts are readily accessible, and provide good structural stability. The cosmetic and functional outcomes are encouraging. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。