https://scholars.lib.ntu.edu.tw/handle/123456789/581637
標題: | The reconstruction of a contracted eye socket using a post-auricular full-thickness skin graft | 作者: | YI-HSUAN WEI SHU-LANG LIAO |
關鍵字: | Full-thickness skin graft; Prosthesis; Socket contracture; Socket reconstruction | 公開日期: | 2014 | 出版社: | Springer Verlag | 卷: | 252 | 期: | 5 | 起(迄)頁: | 821-827 | 來源出版物: | Graefe's Archive for Clinical and Experimental Ophthalmology | 摘要: | Purpose: To report the efficacy of a full-thickness skin graft (FTSG) for the reconstruction of a contracted eye socket. Design: A retrospective, non-comparative, interventional case series. Methods: This was a retrospective review of patients with a contracted eye socket who underwent socket reconstruction using a post-auricular FTSG from 2001 to 2011 at the National Taiwan University Hospital. The postoperative results including prosthetic fitting, the cosmetic result, and eyelid function were assessed. Results: There were 11 male and 15 female patients, with a mean age of 52.3±15.6 years (range 21 to 76). The duration of the socket contracture varied from three months to three years (average 7.4±8.1 months). The severity of the socket contracture ranged from grade 2 to grade 4, based on Tawfik's classification. The mean follow-up time was 35.7±9.6 months. After socket reconstruction, using a post-auricular FTSG, 96 % of the cases (25 of 26) demonstrated a successful prosthetic fitting and a satisfactory cosmetic outcome. Both good eyelid function and a stable fornix depth were maintained during the follow-up time. One case received a second socket reconstruction three months after the first operation, using a FTSG, because of an inadequate lateral fornix. The final result was satisfactory. There were no serious complications, but a granuloma formed in one case, and there was prolonged discharge in one case. Conclusions: The reconstruction of a contracted eye socket using a post-auricular FTSG is an effective method with a high success rate, which causes less discomfort to donor sites and results in few complications. ? 2014 Springer-Verlag. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84902248732&doi=10.1007%2fs00417-014-2600-z&partnerID=40&md5=da8eb144dcbc9129b42f2c06e63c4159 https://scholars.lib.ntu.edu.tw/handle/123456789/581637 |
ISSN: | 0721-832X | DOI: | 10.1007/s00417-014-2600-z | SDG/關鍵字: | adult; aged; article; clinical article; clinical effectiveness; disease severity; esthetic surgery; eye discharge; eye socket contracture; eyelid; female; follow up; full thickness skin graft; granuloma; human; male; middle aged; orbit disease; orbit reconstruction; patient satisfaction; priority journal; prosthesis; Taiwan; young adult; Adult; Aged; Contracture; Ear; Eye Enucleation; Eye, Artificial; Female; Humans; Intervention Studies; Male; Middle Aged; Orbital Diseases; Orbital Implants; Reconstructive Surgical Procedures; Retrospective Studies; Skin Transplantation; Suture Techniques; Sutures; Treatment Outcome; Young Adult |
顯示於: | 醫學系 |
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