利用Proplast的眼窩整形術

Orbital Reconstruction with Proplast

馬俐(Lih Ma) ； 黃瑞冰(Sui-Ping Wong) ； 吳金玉(Chin-Yuh Wu) ； 姚序駒(Shiuh-Jiu Yau)

《中華民國眼科醫學會會刊》 26卷2期 (1987/05) Pp. 639-645

https://doi.org/10.30048/ACTASOS.198705.0114

摘要

15位病患利用Proplast值入做眼窩重建。引起眼窩變形的原因：其中7位病患是因眼窩底骨折，4位病變因眼球萎縮引起眼球內陷，另外4位病患是施行眼球摘除術後眼球內陷。
在矯正眼窩底骨折病患時，使用薄的Proplast片（約2mm厚度）平鋪在骨折部位。在矯正眼球內陷的病患時則將Proplast切成小塊（約10×5×2mm大小），自骨膜下塞入以填充眼窩中缺少的體積。
15位病患的結果，皆另人滿意，平均追踪時間13個月。依統計術後眼窩體積增加的量比值入之Proplast來的少。亦卽Proplast有被壓縮的現象，因此建議開刀時可依電腦斷層統計出之所須增加之眼窩體積，乘以百分之180或190卽是所須值入之Proplast的體積。總之，在做眼窩底骨折或眼窩體積填充時，Proplast皆為一很好的材料。

並列摘要

Proplast were implanted in fifteen cases for orbital reconstruction. Seven cases were orbital floor fractures; four cases were phthisical enophthalmos and four cases were anophthalmic enophthalmos.
In orbital floor fracture cases, thin Proplast (2mm thin) was placed onto the fractured orbital floor after the incarcerated orbital tissues was released. To correct the enophthalmic socket, Proplast was shaped into small pieces (10x5x2 mm) then inserted into the subperiosteal space from all directions to fill up the orbital cavity. The result of these fifteen cases were satisfactory. The average follow-up period is thirteen months. The increased orbital volume seems less than the volume of the implanted Proplast, therefore, we suggest an 80% to 90% overcorrection rate in accordance with the computer measurements. However, Proplast serves as a very good material for orbital floor repairing and volume replacement.

並列關鍵字

Proplast ； orbital reconstruction