[Repair of exposed hydroxyapatite implants using temporalis fascia: four case reports]

Using hydroxyapatite porous implants improves the functional and cosmetic results for patients after evisceration. However, exposure is still the most frequent complication and requires various surgical treatments. We present four patients who had an autologous temporalis fascia graft for an exposed hydroxyapatite implant 6 months to 5 years after the first evisceration. Mean follow-up was 17 months. We describe our surgical procedure and its results, and we discuss its advantages and its place in the management of exposed porous implants.