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Prosthetic Rehabilitation in a Patient With Orbital Exenteration: The First Hybrid System With Miniplates and Magnetic Retention Described in Humans.
Ophthalmic Plastic and Reconstructive Surgery ( IF 1.2 ) Pub Date : 2021-10-13 , DOI: 10.1097/iop.0000000000002067
Marco A Gallón 1 , Laura J Echeverry 2 , Ricardo Rojas 3 , Margarita R Caicedo 4
Affiliation  

The authors report the case of an 80-year-old male patient who had a modified left orbit exenteration with preservation of myocutaneus eyelid flap. The radical surgical treatment was performed due to high-grade recurrent pleomorphic conjunctival sarcoma with extension to the sclera and medial orbit. Five previous resection surgeries were performed, until the exenteration was considered. Prosthetic rehabilitation was planned integrating interdisciplinary biomedical knowledge, to create a new hybrid osteointegrated method with costume-made titanium miniplates and magnetic retention. During the second-year follow up, the system appeared osteointegrated. No failures from the retention mechanism have been reported. The patient reported to have a functional role inside and outside his house. Social interactions have not been limited by the anatomical facial defect. This new hybrid system is a feasible option to rehabilitate patients with orbital or facial defects, even for the elderly.

中文翻译:

眼眶切除患者的假肢康复:第一个在人类中描述的具有微型板和磁保持的混合系统。

作者报道了一名 80 岁男性患者的病例,他接受了改良的左眼眶切除术,保留了眼睑肌皮瓣。由于高级别复发性多形性结膜肉瘤扩散至巩膜和眼眶内侧,进行了根治性手术治疗。之前进行过五次切除手术,直到考虑切除为止。假肢康复计划整合跨学科的生物医学知识,创建一种新的混合骨整合方法,采用定制的钛微型板和磁力保持。在第二年的随访中,该系统出现骨整合。尚未报告保留机制出现故障。患者自称在其房屋内外发挥着功能性作用。社交互动并未受到面部解剖缺陷的限制。这种新型混合系统是眼眶或面部缺陷患者(甚至老年人)康复的可行选择。
更新日期:2021-10-13
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