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Pericranium grafts for exposed orbital implants.
Ijaz Sheikh1, Igal Leibovitch, Dinesh Selva
1Corneoplastic Unit, Queen Victoria Hospital, East Grinstead, United Kingdom.
Ophthalmic Plastic and Reconstructive Surgery
|June 9, 2005
Summary
Autologous pericranium grafts effectively cover exposed orbital implants, preventing recurrence. This method offers a viable alternative to other materials with minimal donor site complications.
Area of Science:
- Ophthalmology
- Plastic and Reconstructive Surgery
Background:
- Exposed orbital implants pose a challenge in reconstructive surgery.
- Effective coverage is crucial to prevent infection and ensure implant longevity.
Purpose of the Study:
- To evaluate the efficacy of autologous pericranium grafts for covering exposed orbital implants.
- To assess the outcomes and potential complications associated with this technique.
Main Methods:
- A consecutive case series involving four patients with exposed orbital implants.
- Autologous pericranium harvested from the parieto-occipital region was used to cover the implants.
- Surgical technique involved placing the graft within a pocket and layered closure.
Main Results:
- Complete coverage of exposed orbital implants was achieved in all four patients.
- No recurrence of implant exposure was observed during a mean follow-up of 9.5 months.
- No donor site morbidity was reported; one patient developed a minor pyogenic granuloma.
Conclusions:
- Autologous pericranium grafts are a safe and effective option for managing exposed orbital implants.
- This technique presents a useful alternative to traditional methods, such as frontal periosteum grafts.