上顎全摘術後の眼窩底再建の一工夫 : チタンマイクロメッシュと頬脂肪体を用いた再建法

概要

論文の詳細を見る
A modified method for immediate reconstruction of orbital floor following total maxillectomy is discribed. Total maxillectomy involving orbital floor causes eyeball dislocation, which may result in double vison and facial deformity. To prevent this, rigid support for orbital floor is necessary as well as soft tissue repair. Recently, variour reconstructions have been performed operations, but the patients are not contended. We performed immediate reconstruction of the orbital floor with titanium micromesh and the pedicled buccal fat pad. Titanium micromesh is superior to other materials in biocompatibility, being thin, light and easy to trim to make the orbital floor. It produced less artifacts on CT scans. The pedicled buccal fat pad was easy to use, becauce it covered the postmaxillectomy wound without filling the maxillary cavity, and post-operative inspection was easy. The cavity could be filled with dental prosthesis. In conclusion, this method is useful for immediate reconstruction of the orbital floor following total maxillectomy.
福岡歯科大学学会の論文
1997-03-31