可吸收多聚左旋乳酸聚乙醇酸固定包进行内眦固定的技术
A technique for medial canthal fixation using resorbable poly-L-lactic acid-polyglycolic acid fixation kit作者机构:SuVi Eye Institute A-475 Indra Vihar Kota Rajasthan IndiaDr.
出 版 物:《世界核心医学期刊文摘(眼科学分册)》 (Digest of the World Core Medical Journals)
年 卷 期:2006年第12期
页 面:22-22页
学科分类:1002[医学-临床医学] 100212[医学-眼科学] 10[医学]
摘 要:Achieving secure bony fixation of medial canthus is a challenge. We used a resorbable poly-L-lactic acid-polygl- ycolic acid screw (LactoSorb office fixation kit) in 5 cases: 2 with traumatic medial canthal dystopia, 1 with scleroderma and orbital fat atrophy causing malapposition of the medial canthus to globe, and 2 with invasive medial canthal tumors necessitating subtotal medial orbital exenteration. The resorbable screw with preplaced suture was drilled into the medial orbital wall, using a handheld self-drilling tap. The preplaced suture was used to anchor the medial canthus. We achieved satisfactory canthal position in all 5 cases. There were no complications in 4 cases during a mean±SD follow-up of 11.3±6 months; however, the scleroderma case developed wound dehiscence 6 weeks after surgery. The LactoSorb kit is a safe and effective technique to achieve bonymedial canthal fixation in carefully selected cases.