视网膜母细胞瘤术后眶颧畸形的综合修复：病例报道及文献复习

Synthetic plastic surgery for secondary orbitozygomatic deformity after treatments of retinoblastoma

目的探讨视网膜母细胞瘤眼球摘除及放射治疗后眶颧畸形的特点，并介绍一种针对此种畸形的外科整复方法。方法对1例视网膜母细胞瘤术后眶颧畸形的患者，行颧、眶、颞部人工填充术联合义眼台眶内置入术，并结合文献报道的资料进行分析总结。结果术后患侧眶颧部饱满，双眼外观基本对称，患者较为满意。结论结合本病例及文献分析，整形外科医师应全面考虑患者的病史，认识眼球摘除及放射治疗后眶颧部畸形的特点，必要时与眼科等相关科室联合施术，以获得较为满意的效果。

Objective To review the orbitozygomatic deformity caused by enucleation and postoperative irradiation after treatments of retinoblastoma, and to introduce a method of synthetic plastic surgery for the de- formity. Methods To report a case of synthetic plastic surgery including zygomatic, orbital and temporal artifi- cial filling combined with hydroxyapatite orbital implantation for orbitozygomatic deformity after treatments of ret- inoblastoma and review recent literatures. Results The appearance of orbitozygoma became full and the bilat- eral symmetry was nearly achieved. Conclusion The plastic surgeons should consider the patients＇ histories comprehensively, recognize the characteristics of orbitozygomatic deformity after enucleation and irradiation, and cooperate with ophthalmologists to complete treatment if necessary. The method of zygomatic, orbital and temporal artificial filling combined with hydroxyapatite orbital implantation can achieve satisfactory outcomes.