Dermis-fat graft for orbital reconstruction after subtotal exenteration.
Abstract
A surgical technique for reconstruction after subtotal orbital exenteration uses an autogenous dermis-fat graft. A musculocutaneous flap is advanced over the graft to provide the anterior vascular supply for the free dermis-fat graft. The periorbita and remaining orbital tissue provide the vascular supply posteriorly. This technique eliminates extensive skin grafting and delayed spontaneous healing. Wound healing is rapid and surgical morbidity is minimized. We have used this procedure in three patients with sebaceous gland adenocarcinoma, two patients with severe posttraumatic contracted sockets, and as a palliative procedure in one patient with a fungating choroidal melanoma and widespread metastasis.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | flap
|
피판재건술 | dict | 1 | |
| 시술 | skin grafting
|
피부이식 | dict | 1 | |
| 해부 | Dermis-fat graft
|
scispacy | 1 | ||
| 해부 | graft
|
scispacy | 1 | ||
| 해부 | orbital tissue
|
scispacy | 1 | ||
| 해부 | skin
|
scispacy | 1 | ||
| 합병증 | musculocutaneous flap
|
scispacy | 1 | ||
| 합병증 | Wound
|
scispacy | 1 | ||
| 질환 | sebaceous gland adenocarcinoma
|
C0206684
Sebaceous Adenocarcinoma
|
scispacy | 1 | |
| 질환 | choroidal melanoma
|
C0220633
Uveal melanoma
|
scispacy | 1 | |
| 질환 | fungating choroidal melanoma
|
scispacy | 1 | ||
| 기타 | anterior vascular
|
scispacy | 1 | ||
| 기타 | vascular
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | patient
|
scispacy | 1 |
MeSH Terms
Adipose Tissue; Blepharitis; Conjunctivitis; Eye Injuries; Female; Humans; Male; Middle Aged; Ophthalmologic Surgical Procedures; Skin Transplantation; Surgery, Plastic
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