真皮脂肪移植物作眼窝一期植入术的结果及并发症的危险因素。

IF 1.3 4区 医学 Q3 OPHTHALMOLOGY
Anna Schuh, Nicolas Pensel, Franziska Reinking, Siegfried Priglinger, Christoph Hintschich
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引用次数: 0

摘要

目的:评价真皮脂肪移植(DFG)作为眼眶内植体的效果、并发症发生率及并发症的可能危险因素。方法:回顾性分析2013年至2022年在慕尼黑路德维希-马克西米利安大学眼科医院进行的所有原发性DFG (DFG I°)。结果:257例患者经DFG I°去核后共重建椎窝257个。随访充分的222只眼纳入分析。男性占59.9% (n = 133),女性占40.1% (n = 89)。手术的中位年龄为60岁(范围10-93岁)。最常见的手术指征是疼痛性失明(148例,66.7%)、恶性肿瘤(55例,24.8%)、难治性穿孔性角膜溃疡(9例,4.0%)和毁容性失明(5例,2.2%)。中位随访时间为10.6个月(范围0.7-123.2)。第一假体安装的中位时间为1.2个月(范围0.6-22.8)。大多数患者的假体装配良好(156/168;93%),假体运动良好(119/158;75%)。81%的患者满意度极佳(123/151)。并发症:完全坏死1.8%(4/222),部分坏死2.7%(6/222),严重萎缩1.8%(2/111),术后出血0.5%(1/222),窝孔收缩4.5%(5/111)。手术年龄越大与坏死(p = 0.049)、窝窝收缩(p = 0.042)和萎缩(p = 0.039)有统计学意义。结论:DFG是一种安全有效的眶内重建技术,效果良好,并发症少。手术年龄较大是DFG坏死、萎缩和窝窝收缩的唯一显著危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcomes and Risk Factors for Complications of Dermis-Fat Graft as Primary Orbital Implant.

Purpose: To evaluate outcomes after dermis fat graft (DFG) as primary orbital implants after enucleation, complication rates, and possible risk factors for complications.

Methods: Retrospective analysis of all primary DFG (DFG I°) performed at the University Eye Hospital of Ludwig-Maximilians-University Munich from 2013 to 2022.

Results: A total of 257 sockets of 257 patients were reconstructed after enucleation with a DFG I°. 222 eyes with sufficient follow-up were included for analysis. Almost 59.9% (n = 133) of patients were male and 40.1% (n = 89) female. Median age at surgery was 60 years (range 10-93). The most common surgical indications were painful blind eye (148, 66.7%), malignancy (55, 24.8%), treatment-refractory perforated corneal ulcer (9, 4.0%), and disfiguring blind eye (5, 2.2%). Median time of follow-up was 10.6 months (range 0.7-123.2). Median time to fitting of the first prosthesis was 1.2 months (range 0.6-22.8). Prosthesis fitting was excellent in the majority of patients (156/168; 93%), as was prosthesis motility (119/158; 75%). Patient satisfaction was excellent in 81% (123/151). Complications were as follows: complete necrosis 1.8% (4/222), partial necrosis 2.7% (6/222), severe atrophy 1.8% (2/111), postoperative hemorrhage 0.5% (1/222), contracted socket 4.5% (5/111). Older age at surgery was statistically significantly associated with necrosis (p = 0.049), contracted socket (p = 0.042), and atrophy (p = 0.039).

Conclusions: DFG is a safe and effective technique for primary socket reconstruction after enucleation, yielding favorable outcomes with rarely major complications. Older age at surgery was the sole significant risk factor identified for DFG necrosis, atrophy, and contracted socket.

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来源期刊
CiteScore
2.50
自引率
10.00%
发文量
322
审稿时长
3-8 weeks
期刊介绍: Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.
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