Enduragen Patch Grafts for Exposed Orbital Implants

Wu, Albert Y.; Vagefi, M. Reza; Georgescu, Dan; Burroughs, John R.; Anderson, Richard L.

doi:10.3109/01676830.2011.558974

Cited by 8 publications

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The ideal graft material should be adaptable to the socket surface, resistant to infection and easily epithelializing, provide scaffold to prothetic eye. Previously described materials for manage of exposed orbital implants include: dermis fat, temporalis fascia graft, frontal periosteum graft, tarsal patch ap, amniotic membrane graft, retroauricular myoperiostal graft or biosynthetic material patch graft as described by Enduragen [19,20].…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have reported to repair orbital implant exposure by using banked sclera, frontal periosteum, amniotic membrane, müller muscle flap, or biosynthetic materials. 17,18 A good blood supply is essential for the survival of the graft, and for the supra-brow island flap pedicled with the orbicularis muscle, this was achieved with a good blood supply by the pedicled orbicularis muscle.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Correction of orbital implant exposure using a supra-brow island flap pedicled with orbicularis oculi muscle

Zhang

2022

European Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose To describe our experience of the supra-brow island flap pedicled with orbicularis oculi muscle technique for correcting orbit implant exposure. Materials and methods This retrospective study reviewed 32 patients that underwent orbit implant exposure surgery using a supra-brow island flap pedicled with orbicularis oculi muscle. All data were reviewed from patients in Eye & ENT Hospital of Fudan University, Shanghai during January 2018 to July 2020. The patient demographics, the original etiology, surgical procedures, implant types, and follow-up interval were recorded. The primary outcome was the long-term coverage of the supra-brow island flap pedicled with orbicularis oculi muscle, and the post-surgical complications and management were secondary outcomes. Results 28 eyes of 28 patients had functional results and satisfactory cosmetic outcomes at final follow up(range, 9–29 months). Among the other 4 patients, the recurrence of exposure was recorded during the follow-up, two of these patients successfully underwent dermis fat grafts(DFGs), one recovered after conservative treatment, and one refused treatment. Conclusions The supra-brow island flap pedicled with orbicularis oculi muscle is a technique available to manage orbital implant exposure when other simpler and more direct techniques have been tried and failed. Precis A new flap for orbital implant exposure

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Correction of orbital implant exposure using a supra-brow island flap pedicled with orbicularis oculi muscle

Zhang

2022

European Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…These complications are usually treated with drugs and secondary surgery (3)(4)(5). Orbital implant exposure is currently treated with various surgical techniques, including a dermal fat graft (6,7), acellular dermal graft (8), palate mucosal repair (9), oral mucosal repair (10), Enduragen ® graft repair (11), subconjunctival tissue flap repair (12) and fresh amniotic membrane repair (13). These surgical methods are unsatisfactory, however, as they cannot eliminate local inflammation or accelerate vascularization of the orbital implant.…”

Section: Introductionmentioning

confidence: 99%

Helium-neon laser therapy in the treatment of hydroxyapatite orbital implant exposure: A superior option

Zhao

Zhu

et al. 2015

Experimental and Therapeutic Medicine

View full text Add to dashboard Cite

The aim of the present study was to evaluate the efficacy of helium-neon laser therapy in the treatment of hydroxyapatite orbital implant exposure and compare the results with those of a combined drugs and surgery regimen. A total of 70 patients with hydroxyapatite orbital implant exposure in 70 eyes were randomly divided into two groups: Helium-neon laser therapy (group A) and drugs plus surgery (group B). Each group contained 35 patients. The healing rates and times of the conjunctival wound were recorded and compared following helium-neon laser treatment or the drugs plus surgery regimen. Changes in the hydroxyapatite orbital implant prior to and following helium-neon laser irradiation were analyzed. A similar animal study was conducted using 24 New Zealand white rabbits, which received orbital implants and were then received drug treatment or helium-neon therapy. In the human experiment, the rates for conjunctival wound healing were 97.14% in group A and 74.29% in group B, with a significant difference between the groups (χ=5.71, P<0.05). Patients with mild exposure were healed after 7.22±2.11 days of helium-neon laser therapy and 14.33±3.20 days of drugs plus surgery. A statistically significant difference was found between the groups (t=8.97, P<0.05). Patients with moderate to severe exposure were healed after 18.19±2.12 days of helium-neon laser therapy and 31.25±4.21 days of drugs plus surgery. The difference between the groups was statistically significant (t=7.91, P<0.05). Enhanced magnetic resonance imaging showed that the helium-neon laser therapy significantly promoted vascularization of the hydroxyapatite orbital implant. These results, combined with pathological findings in animals, which showed that a helium-neon laser promoted vascularization and had anti-inflammatory effects, suggest that helium-neon laser irradiation is an effective method for treating hydroxyapatite orbital implant exposure, thereby avoiding secondary surgery.

show abstract

Management of Implant Exposure and Extrusion

Erickson

2019

Anophthalmia

View full text Add to dashboard Cite

Enduragen Patch Grafts for Exposed Orbital Implants

Cited by 8 publications

References 16 publications

Correction of orbital implant exposure using a supra-brow island flap pedicled with orbicularis oculi muscle

Correction of orbital implant exposure using a supra-brow island flap pedicled with orbicularis oculi muscle

Helium-neon laser therapy in the treatment of hydroxyapatite orbital implant exposure: A superior option

Management of Implant Exposure and Extrusion

Contact Info

Product

Resources

About