Rigid nylon foil-anchored polytetrafluoroetyhlene (Gore-Tex) sheet stenting for conjunctival fornix reconstruction.

作者: Hakan Demirci , Susan G. Elner , Victor M. Elner

DOI: 10.1016/J.OPHTHA.2010.01.061

关键词:

摘要: Purpose To describe an operative technique that deepens foreshortened conjunctival fornices by providing a scaffold for epithelialization opposes contractile forces during wound healing. Design Retrospective interventional case series. Participants Seventeen patients with anophthalmic sockets containing fornices. Methods Conjunctival was reconstructed stents of expanded polytetrafluoroethylene (e-PTFE) sheet draped over rigid, 0.8-mm thick-nylon strips were anchored to the orbital rim. Preoperative and postoperative symptoms, prosthesis retention, fornix depth, lagophthalmos assessed. Main Outcome Measures Prosthesis lagophthalmos. Results All 17 had preoperative inability retain their prosthesis. After follow-up 47±43 months, retention improved in all entirely satisfactory 15 (88%) patients. reconstruction, repaired deep 7 (41%) patients, adequate 9 (53%), shallow 1 (6%). Lagophthalmos remained unchanged 2 (12%). The superior concurrently inferior 6 In these (3 patients; 50%) or (2; 33%). (17%) patient, it shallow. Conclusions Rigid, nylon foil-anchored e-PTFE stenting contracture, improving It does not require additional surgical site graft harvesting. Financial Disclosure(s) authors have no proprietary commercial interest any materials discussed this article.

参考文章(38)
Olga Lukáts, Contracted anophthalmic socket repair. Orbit. ,vol. 21, pp. 125- ,(2002)
Salvatore Cillino, Lucio Zeppa, Francesco Di Pace, Alessandra Casuccio, Daniele Morreale, Fabio Bocchetta, Gaetano Lodato, E-PTFE (Gore-Tex ) implant with or without low-dosage mitomycin-C as an adjuvant in penetrating glaucoma surgery: 2 year randomized clinical trial Acta Ophthalmologica. ,vol. 86, pp. 314- 321 ,(2007) , 10.1111/J.1600-0420.2007.01036.X
Robert G. Fante, Senile enophthalmia and herniated lower eyelid fat. Plastic and Reconstructive Surgery. ,vol. 102, pp. 917- 918 ,(1998) , 10.1097/00006534-199809010-00054
Abraham Solomon, Edgar M Espana, Scheffer C.G Tseng, Amniotic membrane transplantation for reconstruction of the conjunctival fornices. Ophthalmology. ,vol. 110, pp. 93- 100 ,(2003) , 10.1016/S0161-6420(02)01441-0
Mandeep S. Bajaj, Neelam Pushker, Kundan Kumar Singh, Mahesh Chandra, Supriyo Ghose, Evaluation of amniotic membrane grafting in the reconstruction of contracted socket. Ophthalmic Plastic and Reconstructive Surgery. ,vol. 22, pp. 116- 120 ,(2006) , 10.1097/01.IOP.0000200887.26015.D4
Jill A Foster, Everardo Castro, Frank A Papay, Reconstruction of the irradiated contracted socket with an expanded superficial temporalis fascial flap American Journal of Ophthalmology. ,vol. 127, pp. 621- 622 ,(1999) , 10.1016/S0002-9394(98)00429-2
Paige Teller, Therese K. White, The physiology of wound healing: injury through maturation. Surgical Clinics of North America. ,vol. 89, pp. 599- 610 ,(2009) , 10.1016/J.SUC.2009.03.006
Dongmei Li, Ying Jie, Hong Liu, Jingming Liu, Zhenghong Zhu, Chi Mao, Reconstruction of anophthalmic orbits and contracted eye sockets with microvascular radial forearm free flaps. Ophthalmic Plastic and Reconstructive Surgery. ,vol. 24, pp. 94- 97 ,(2008) , 10.1097/IOP.0B013E318166DAD1
Ahmad Kheirkhah, Gabriela Blanco, Victoria Casas, Yasutaka Hayashida, Vadrevu K. Raju, Scheffer C.G. Tseng, Surgical strategies for fornix reconstruction based on symblepharon severity. American Journal of Ophthalmology. ,vol. 146, pp. 266- 275 ,(2008) , 10.1016/J.AJO.2008.03.028
Ioannis Mavrikakis, Raman Malhotra, Michael J Shelley, Kenneth J Sneddon, None, Surgical Management of the Severely Contracted Socket Following Reconstruction Orbit. ,vol. 25, pp. 215- 219 ,(2006) , 10.1080/01676830600671383