Combined use of bulbar conjunctival pedicle flap and labial mucous membrane graft for porous orbital implant exposure: Long-term outcome
| Autor: | Khami Satchi, Alan A McNab, Kent Chow |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Surgical Flaps Surgical Wound Dehiscence 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans Child Retrospective Studies Surgical repair Mucous Membrane business.industry Eye Artificial Suture Techniques Mucous membrane 030206 dentistry Middle Aged eye diseases Surgery Sclera Ophthalmology medicine.anatomical_structure Durapatite 030221 ophthalmology & optometry Female sense organs Implant business Complication Conjunctiva Porosity Orbital implants Follow-Up Studies Orbital Implants |
| Zdroj: | Orbit (Amsterdam, Netherlands). 37(4) |
| ISSN: | 1744-5108 |
| Popis: | Implant exposure is the most common serious complication of porous orbital implants, and often requires surgical repair. This study aims to describe a new repair technique using a bulbar conjunctival pedicle flap and a labial mucous membrane patch graft, as well as to report its long-term results. A retrospective chart review was performed on all patients whose porous orbital implant exposures were repaired using this technique from 1995 to 2014. Twenty-three patients were included. The maximal defect dimension ranged from 2 to 18 mm. Sixteen patients (70%) also received a banked human scleral patch graft during their repair. The mean follow-up was 130 months (range 29-267 months). Eighteen patients (78%) were successfully treated with one repair surgery. At the final follow-up, 21 patients (91%) could comfortably wear a prosthetic eye, and 18 patients (78%) reported satisfactory cosmesis. Two patients (9%) developed small conjunctival cysts that were successfully excised. The combination of a bulbar conjunctival pedicle flap and a labial mucous membrane patch graft is a simple but effective technique in salvaging exposed porous orbital implants. Its long-term results are promising. |
| Databáze: | OpenAIRE |
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