扩展轨道消能:修正Meyer和Zaoli分类法的建议

B. Fomete, K. Omeje, R. Agbara, E. Adebayo, E. Ikhekuamen, Olusola Amole
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引用次数: 0

摘要

背景:由Meyer和Zaoli提出的眼眶剜除分类在文献中已成为一种流行的方法,临床医生据此提出剜除程序。虽然Meyer和Zaoli的分类在我们的实践中被采用目的:提出Mayer和Zaoli的分类的修改,以适应眼眶剜除,其中一个或两个眼睑将被保留的情况。方法:回顾性研究尼日利亚一家三级卫生机构13年间(2005年1月- 2017年12月)上颌肿瘤切除术和眼眶清除术的病例。结果:在研究期间进行的91例上颌骨切除术中,有14例为眶外切除。男性(71.4%)多于女性(28.6%),年龄5 ~ 72岁,平均42.57岁,中位年龄45岁。根据Meyer和Zaoli的眼眶剜除分类,5例被归为IV型,9例不能归为IV型,因为除了Meyer和Zaoli的分类中没有考虑到眼睑保留外,其他所有归为IV型。结论:对Mayer和Zaoli的分类进行修改,以适应眼眶剜除中保留单侧或双侧眼睑的病例,将使分类更加完整和详尽
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Extended Orbital Exenteration: Proposal for Modification of Meyer and Zaoli’s Classification
Background: The orbital exenteration classification by Meyer and Zaoli has become popular in the literature as a means whereby clinicians present exenteration procedures. Although Meyer and Zaoli’s classification is adopted in our practice Objective: To propose a modification of Mayer and Zaoli’s classification to accommodate cases of orbital exenteration where one or both eyelids will be spared. Methods: A retrospective study of cases of maxillary tumours treated with maxillectomy and orbital exenteration over a 13 years period (January 2005- December 2017) in a Nigerian tertiary health facility. Results: They were 14 maxillectomies with orbital exenteration out of 91 maxillectomies carried out within the study period. There were more males (71.4%) than females (28.6%) and the age range was between 5 to 72 years (mean of 42.57 years, the median age was 45 years). Based on Meyer and Zaoli’s classification of orbital exenteration, 5 cases were classed as type IV, nine cases, however, could not be classified as they met all other requirements for classification as type IV except for the eyelid preservation which cannot be accounted for in Meyer and Zaoli’s classification Conclusion: Modification of Mayer and Zaoli’s classification to accommodate orbital exenteration cases where one or both eyelids were spared will make it more complete and exhaustive
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