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Orbital dermis-fat graft using periumbilical tissue.
G Bonavolontà1, F Tranfa, A Salicone
1Department of Ophthalmology, School of Medicine, University of Naples Federico II, Italy. bonavolo@unina.it
Plastic and Reconstructive Surgery
|January 8, 2000
Summary
Periumbilical dermis-fat grafts offer a viable alternative for anophthalmic socket reconstruction, avoiding gluteal scars. This method provides satisfactory results for orbital implants, especially for patients seeking cosmetic alternatives.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Regenerative Medicine
Background:
- Dermis-fat grafts are standard for orbital reconstruction.
- The gluteal region is the typical donor site, but patients may desire alternatives to avoid scarring.
Purpose of the Study:
- To evaluate the periumbilical area as an alternative donor site for dermis-fat grafts in anophthalmic socket reconstruction.
- To assess graft absorption, motility, and patient satisfaction compared to traditional methods.
Main Methods:
- Dermis-fat grafts were harvested from the periumbilical area in 11 patients with anophthalmic sockets who wished to avoid gluteal scarring.
- Graft absorption, prosthetic motility, and patient satisfaction were measured over a mean follow-up of 79 months.
Main Results:
- One patient experienced significant graft absorption requiring revision surgery.
- Excellent or good motility was achieved in 10 out of 11 patients.
- Overall patient satisfaction was high, indicating the suitability of the periumbilical site.
Conclusions:
- The periumbilical area is a suitable and effective alternative donor site for dermis-fat grafts in anophthalmic socket reconstruction.
- This technique is particularly beneficial for patients, especially young women, seeking to avoid visible scarring from gluteal fat harvesting.