Efficacy and safety of an artificial dermal graft for the reconstruction of exenterated sockets: a preliminary report
| Autor: | Arnaud Martel, Jacques Lagier, Gilles Poissonnet, Stéphanie Baillif, L. Gastaud, B. Monjanel |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Orbital exenteration Fistula medicine.medical_treatment 030230 surgery Surgical Flaps 03 medical and health sciences Cellular and Molecular Neuroscience 0302 clinical medicine Dermis medicine Humans Orbit Evisceration Aged Retrospective Studies business.industry Eye Artificial Dermal graft Retrospective cohort study Plastic Surgery Procedures medicine.disease eye diseases Sensory Systems Surgery Radiation therapy Ophthalmology medicine.anatomical_structure 030221 ophthalmology & optometry Eyelid business Orbit Orbit (anatomy) |
| Zdroj: | Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 259(9) |
| ISSN: | 1435-702X |
| Popis: | The purpose of this study is to report our experience with the use of artificial dermis grafts for orbital socket reconstruction following orbital exenteration (OE). A retrospective study was conducted in our ocular oncology centre from May 2018 to June 2020 in patients undergoing OE for orbital malignancies in whom an artificial dermis device (Integra® template, 2 layers) was used for reconstruction. Data recorded included demographics, previous and adjuvant treatments, aetiologies, surgical procedure, surgical reconstruction, complications and follow-up. The main outcome measure was the time between OE and the full granulation of the cavity. Ten patients (mean age, 71.3 years [43–92]) were included. Tumours originated from the conjunctiva (n = 5, 50%), eyelid (n = 3, 30%) and orbit (n = 2, 20%). Nine patients underwent total OE, and one required enlarged OE. Orbital reconstruction was performed using an artificial dermis alone (n = 9, 90%) or combined with regional flaps (n = 1, 10%). The mean granulation time was 3.3 weeks (2–4). Three (30%) patients received adjuvant radiotherapy 1 month post-surgery. The mean time to spontaneous epithelialization was 9.4 weeks (6–12). Preoperative and postoperative radiotherapy was not associated with a delayed epithelialization of the socket (p = 0.463 and p = 0.236, respectively). One (10%) and 2 (20%) patients experienced postoperative socket infection and an ethmoidal fistula, respectively. The mean follow-up was 11.6 months (6–16). Using artificial dermis grafts alone or with regional flaps appears to be a viable surgical procedure for orbital socket reconstruction. They reduce surgical morbidity and hospital stay. Preoperative and postoperative radiotherapy does not seem to delay socket healing. |
| Databáze: | OpenAIRE |
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