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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 267 - 271 (5page)
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초록· 키워드
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Purpose: To describe cases of exposed hydroxyapatite (HA) implants wrapped with the synthetic dura substituteNeuro-Patch treated via simple Neuro-Patch removal. Methods: The medical records of seven patients who experienced exposure of their HA implant were reviewed. All patients had been enucleated and implanted with HA wrapped with Neuro-Patch. For treatment, Neuro-Patch was removed to the greatest extent possible. After applying local anesthesia with lidocaine, bluntdissection was performed to separate the conjunctiva and Neuro-Patch via the site of exposure. Pressure wasapplied to the remaining Neuro-Patch with forceps and removed with scissors. Results: Neuro-Patch was visible at the area of exposure in all patients. No surgery beyond initial Neuro-Patchremoval was necessary in six of the seven patients. In five cases, the exposed area began to heal rapidly afterNeuro-patch removal without primary closure of the defect. In one case, the Neuro-Patch material and allnecrotic tissue was removed aggressively due to inflammation around the orbital implant. Lastly, an infectionwas noted in one case, prompting complete removal of the Neuro-Patch–wrapped HA implant. Conclusions: Wrapping material may hinder implant vascularization. Exposure of HA in wrapped implants canbe successfully treated by a simple removal procedure if detected and managed early.
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참고문헌 (19)
참고문헌 신청
Dutton JJ / 1991 / Coralline hydroxyapatite as an ocular implant / Ophthalmology 98:370~377
Perry AC / 1990 / Integrated orbital implants / Adv Ophthalmic Plast Reconstr Surg 8:75~81
Jordan DR / 1999 / Wrapping hydroxyapatite implants / Ophthalmic Surg Lasers 30:403~407
Lee V / 2000 / Exposure of primary orbital implants in postenucleation retinoblastoma patients / Ophthalmology 107:940~945
Shields CL / 1992 / Hydroxyapatite orbital implant after enucleation. Experience with initial 100 consecutive cases / Arch Ophthalmol 110:333~338
Perry AC / 1990 / Integrated orbital implants / Adv Ophthalmic Plast Reconstr Surg 8:75~81
Jordan DR / 1999 / Wrapping hydroxyapatite implants / Ophthalmic Surg Lasers 30:403~407
Lee V / 2000 / Exposure of primary orbital implants in postenucleation retinoblastoma patients / Ophthalmology 107:940~945
Shields CL / 1992 / Hydroxyapatite orbital implant after enucleation. Experience with initial 100 consecutive cases / Arch Ophthalmol 110:333~338
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