| 성형F-022 |
| 안구 위축 혹은 무안구 환자에서 무세포성 동종진피를 이용한 깊은 위눈꺼풀고랑의 교정의 수술 결과
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| 대전성모병원¹, 서울성모병원², 가톨릭대학교 의과대학 안과 및 시과학교실³ |
| 조원경1,3, 정수경2,3, 백지선2,3, 양석우2,3 |
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목적 : To evaluate surgical outcomes of deep superior sulcus (DSS) augmentation using acellular dermal matrix in patients who have anophthalmic or phthisis socket.
방법 : This study was a retrospective, non-comparative and interventional case series. We reviewed ten eyes of ten patients who underwent surgery for DSS augmentation using acellular dermal matrix. To evaluate surgical outcomes, we focused on three aspects: possibility of contact prosthesis wearing, correction degree of DSS and any surgical complication accompanied. The correction degree of DSS was classified as excellent: restoration of superior sulcus enough to loss of sunken sulcus shadow; fair: gain correction effect but still sunken shadow remained; fail: no effect of correction at all.
결과 : It took mean 21.33 ± 37.11 months from evisceration or enucleation to the operation for augmentation of DSS. All the patients (100%) could wear contact prosthesis after the operation. The correction degree was excellent in 8 patients (80%) , and fair in 2 (20%). Three out of 10 (30%) showed complications, which are upper eyelid entropion, upper eyelid multiple creases and spontaneous wound dehiscence followed by inflammation after stitch out.
결론 : Overall surgical outcomes of DSS augmentation using acellular dermal matrix was favorable, showing excellent correction degree of deep supeior sulcus and low surgical complication rates. This procedure is effective for patients who has DSS in the absence or atrophy of their eyeball. Uneven skin surface and tingling sensation of forehead area of affected eye can be observed after the surgery.
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