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Autogenous dermis-fat orbital implantation
Archives of Ophthalmology (Chicago, Ill. : 1960)
|October 1, 1983
Summary
Autogenous dermis-fat implantation is a successful orbital implant procedure for anophthalmic sockets, with 81% of patients showing stable graft volume long-term. This technique is a valuable option for various socket reconstruction needs.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Anophthalmic sockets often require volume augmentation or reconstruction.
- Dermis-fat grafting is a common technique for orbital implant placement.
- Evaluating graft stability and outcomes is crucial for patient care.
Purpose of the Study:
- To assess the long-term volume stability of autogenous dermis-fat grafts in anophthalmic sockets.
- To determine the efficacy of dermis-fat grafting for various socket conditions.
Main Methods:
- Retrospective analysis of 52 patients undergoing dermis-fat implantation.
- Mean follow-up period of 2.5 years (range: 6 months to 5 years).
- Evaluation of graft volume changes and clinical outcomes.
Main Results:
- 81% of grafts demonstrated no significant volume change.
- 19% of grafts experienced partial resorption.
- Successful outcomes reported for extruded/migrated implants and primary enucleations.
Conclusions:
- Autogenous dermis-fat grafting offers excellent long-term volume stability in anophthalmic sockets.
- It is a reliable alternative to synthetic allografts and effective for socket revision.
- Dermis-fat grafting is a versatile procedure for managing diverse anophthalmic socket challenges.