口腔修复膜在结膜囊成形术中的应用

摘要

目的：探讨口腔修复膜及唇黏膜移植联合义眼台植入术在治疗中重度结膜囊狭窄的临床效果。　　方法：对19例眼窝凹陷并中重度结膜囊狭窄患者行口腔修复膜及唇黏膜移植联合义眼台植入结膜囊成形术，术后随访观察移植唇黏膜成活、眼台稳定性及结膜囊深度、睑裂高度和外观。　　结果：术后随访3～6mo，所有病例唇黏膜生存良好，与球结膜融合。18例患者结膜囊大小深度正常，双侧睑裂高度基本对称，外观满意。1例对外观改善不满意。　　结论：口腔修复膜及唇黏膜移植联合义眼台植入治疗中重度结膜囊狭窄安全有效，能较好的满足患者的外观需求。%AIM: To observe the clinical effect of prosthodontics membrane and lip mucosa transplantation combined with hydroxy apatite ( HA ) orbital implantation in the treatment of severe stenosis of conjunctival sac. METHODS: Nineteen patients with orbital socket and severe stenosis of conjunctival sac were treated with prosthodontics membrane and lip mucosa transplantation combined with HA orbital implantation in reconstruction of conjunctival sac, Survival condition of lip mucosa, HA stability and conjunctival sac depth, palpebral fissure highness and facial appearance were observed after transplantation. RESULTS:After 3-6 months of follow-up, lip mucosal membrane grew up well and fused with eyeball conjunctiva in all patients.Depth of conjunctival sac was normal and binocular palpebral fissure elevated basically symmetry and satisfactory appearance in 18 patients. One patient was not satisfied with the improved appearance. CONCLUSION: The method of prosthodontics membrane and lip mucosa transplantation combined with HA orbital implantation is effective and safety in conjunctival sac reconstriction , and also satisfy patients'esthetic need.