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Dermal-fat graft for anophthalmic socket in children enucleated for retinoblastoma
V Bosch-Canto1, C Cruz1, J C Ordaz-Favila1
1Instituto Nacional de Pediatría, Ciudad de México, México.
Abstract:
Retinoblastoma is the most frequent intraocular tumour in childhood. The definitive treatment is enucleation. The management of the anophthalmic socket consists in the use of a plastic implant. The problem is that they are expensive and they usually extrude. The use of dermal-fat grafts minimises the hemi-facial hypoplasia. They usually grow with the face, and help to expand the orbital bones, thus avoiding the psychological and physical consequences.
Objective:
To determine if there is hemi-facial hypoplasia, using MRI images after the use of a dermal-fat implant in patients enucleated for RB.
Method:
The study included patients enucleated for RB in which a dermal-fat implant was used and MRI images were taken in the period between June 2010 and December 2012. Facial growth and cosmesis was measured.
Results:
The study included 12 patients, aged between 6 to 41 months. After 24 months of follow up, none of them developed hemifacial hypoplasia. All had a good cosmesis with the prosthesis. There were no complications after the surgery.
Conclusions:
The use of dermal-fat implant is a good option for the anophthalmic socket in patients with RB after enucleation.
