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Related Experiment Videos

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
PubMed
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.

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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.

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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.