The periosteal graft and flap use in Ophthalmology

Abstract Purpose: The authors reviewed the periosteum use in ophthalmic surgery and its results. Methods: A comprehensive review of the literature using Google Scholar, PubMed and SciElo databases with all articles about the periosteum use in Ophthalmology published from 1977 to 2018. Results: A total of 21 studies followed the review's purpose: 9 case reports, 9 case series, 1 retrospective cohort and 2 prospective cohorts. 206 patients were submitted to the procedures with the periosteum use in the two main forms: graft and flap. The principal reasons for periosteal use were: orbital implant covering and eyelid reconstruction. Surgical outcomes were very satisfactory with low complication rates of 10.67% and minimal necessity of new surgical intervention of 2.42%. Conclusion: The periosteum use in Ophtalmology is a promising technique with good results so far and should always be a therapeutic option for the ophthalmologist. However, based on available data in the literature, more studies with statistical power for knowledge sedimentation in this subject are recommended.摘要 目的：作者综述了骨膜（periosteum）在眼科手术中的应用方式及其临床效果。方法：通过Google Scholar、PubMed及SciElo数据库，对1977年至2018年间发表的所有涉及骨膜在眼科领域应用的文献进行全面系统综述。结果：共计21项研究符合本综述的纳入标准，其中包括9篇病例报告、9篇病例系列研究、1项回顾性队列研究及2项前瞻性队列研究。共有206名患者接受了采用骨膜的手术操作，骨膜的应用形式主要分为两种：移植物（graft）与皮瓣（flap）。使用骨膜的主要适应证为眶植入物覆盖与眼睑重建。手术整体疗效极佳，并发症发生率仅为10.67%，需再次手术的比例极低，仅为2.42%。结论：目前骨膜在眼科中的应用是一项极具前景的技术，已取得良好的临床效果，应成为眼科医师可选用的治疗方案之一。然而，基于现有文献数据，仍需开展更多具备统计效力的研究，以推动该领域的学术认知积淀。