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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Autogenous dermis-fat orbital impant for anophthalmic socket.
Abdullah Al-Mujaini1, Anuradha Ganesh, Sana Al-Zuhaibi
1Department of Ophthalmology, College of Medicine and Health Sciences, Sultan Qaboos University, P. O. Box 35, Al-Khod 123, Sultanate of Oman.
Sultan Qaboos University Medical Journal
|July 13, 2011
Summary
This case report introduces dermis-fat graft (DFG) orbital reconstruction in Oman. A DFG implant successfully restored cosmetic and functional outcomes after implant extrusion in a pediatric patient.
Area of Science:
- Ophthalmology
- Plastic and Reconstructive Surgery
Background:
- Orbital reconstruction is crucial for restoring function and aesthetics after eye loss.
- Dermis-fat graft (DFG) is a viable option for orbital implants.
- Implant extrusion can complicate orbital reconstruction, necessitating alternative approaches.
Purpose of the Study:
- To report the first use of a dermis-fat graft (DFG) for orbital reconstruction in Oman.
- To present a case of successful orbital implant using DFG in a pediatric patient with a history of penetrating eye injury and implant extrusion.
Main Methods:
- A 10-year-old boy with a blind, painful left eye underwent evisceration with a polymethyl methacrylate implant, which later extruded.
- The procedure was converted to enucleation, followed by orbital reconstruction using a dermis-fat graft (DFG).
Main Results:
- The dermis-fat graft (DFG) integrated well with the host orbital tissues.
- The patient achieved satisfactory cosmetic and functional outcomes postoperatively.
Conclusions:
- Dermis-fat graft (DFG) implantation is a successful technique for orbital reconstruction in Oman.
- DFG offers a viable solution for complex orbital reconstruction cases, including those with prior implant extrusion.
