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学科主题: 口腔医学
题名:
Microvascular autologous submandibular gland transfer in severe cases of keratoconjunctivitis sicca
作者: Yu, GY; Zhu, ZH; Mao, C; Cai, ZG; Zou, LH; Lu, L; Zhang, L; Peng, X; Li, N; Huang, Z
关键词: submandibular gland transfer ; microvascular surgery ; keratoconjunctivitis ; sicca
刊名: INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
发表日期: 2004-04-01
DOI: 10.1054/ijom.2002.0438
卷: 33, 期:3, 页:235-239
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Dentistry, Oral Surgery & Medicine ; Surgery
研究领域[WOS]: Dentistry, Oral Surgery & Medicine ; Surgery
英文摘要:

The objective is to evaluate the technique of microvascular autologous submandibular gland transfer for the treatment of severe keratoconjunctivitis sicca. From August 1999 to April 2002, 38 patients with severe keratoconjunctivitis sicca were treated by autologous submandibular gland transfer to the temporal region of the skull. The related vessels were anastomosed to the superficial temporal artery and vein. When the vein was too small, venous bridging was applied. Prior to cutting off the gland, the facial artery was preserved and infused with heparin in normal saline after the gland had been freed to allow inspection of the blood oozing from the three veins. This would be helpful in the selection of a relevant vein for anastomosis. Wharton′s duct was transplanted to the upper lateral conjunctiva fornix, and the gland was left denervated. Postoperative scintigraphy with Tc99m pertechnetate, follow-up studies, and management of complications were performed. The transplantations were successful in 33 cases, their symptoms of xerophthalmia disappeared. The discomfort resulting from bright light and wind was also relieved. These patients could stop applying artificial tears. In five patients the transplanted glands did not survive. Epiphora occurred in eight cases. They were successfully treated by reducing the size of the graft. Obliteration of Wharton′s duct took place in two cases and was treated by the reconstruction of the duct or duct orifice. Microvascular autologous submandibular gland transfer is a lasting and effective solution for severe cases of keratoconjunctivitis sicca.

语种: 英语
WOS记录号: WOS:000221375000002
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/63713
Appears in Collections:北京大学口腔医学院_期刊论文

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作者单位: 1.Peking Univ, Sch Stomatol, Dept Oral & Maxillofacial Surg, Beijing 100081, Peoples R China
2.Tong Ren Hosp, Dept Opthalmol, Beijing 100730, Peoples R China

Recommended Citation:
Yu, GY,Zhu, ZH,Mao, C,et al. Microvascular autologous submandibular gland transfer in severe cases of keratoconjunctivitis sicca[J]. INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY,2004,33(3):235-239.
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