Indications and results in anophthalmic socket reconstruction using dermis-fat graft

Abstract

ObjectivesTo present the indications for a dermis-fat graft in anophthalmic socket reconstruction and evaluate the results of this procedure.DesignRetrospective review, interventional case series.MethodsIn our study, there were 41 patients who received either primary or secondary dermis-fat graft between August 1, 2007 and July 31, 2012 at Songklanagarind Hospital.ResultsThe type of dermis-fat graft used in our study consisted of both primary dermis-fat grafts (6/41) and secondary dermis-fat grafts (35/41). The major indications for dermis-fat graft were exposure (13/41), extrusion (11/41), and volume insufficiency with a shallow fornix (10/41), which accounted for 82.9% of the total cases. A total of 30 patients were able to wear the eye prosthesis over a mean follow-up time of 32.3±19.0 months. The success rate of the dermis-fat graft alone was 73.3%, while that of the simultaneous dermis-fat graft and mucous-membrane graft was 25%.ConclusionThe most common indications for a dermis-fat graft were extrusion and large exposure. Dermis-fat graft is an alternative implant type in complicated enucleation/evisceration patients, which has a good success rate.

Dermis-fat graft for contracted socket reconstruction in an indigenous black population, Southwestern Nigeria

“…Dermis-fat grafting for anophthalmic socket reconstruction which was introduced in 1978 by Smith and Petrelli [2], has been used in primary reconstruction of the socket after surgical eye removal procedures or, following migration or extrusion of the orbital implant [2] [3] [4]. The dermis-fat graft can restore both orbital volume and adequate fornix with minimal chances of extrusion [5]. Although there are Case Reports in Clinical Medicine reports on dermis-fat graft in orbital reconstruction in literature, to the best of the author's knowledge, none has been published in Nigeria.…”

“…removal of the eye or secondarily, following extrusion or migration of existing orbital implant[2] [5]. It is a free graft which receives vascularization from the recipient soft-tissue bed and has the ability for continuous growth[6].…”

Modern principles of prevention of anophthalmic syndrome: formation of the locomotor stump, the types of orbital implants

“…Милюдина, у 50% пациентов, прооперированных с использова-нием «Аллопланта», через 2-3 года после опера-тивного вмешательства отмечается значительное уменьшение размера культи, что, вероятно, свя-зано с рассасыванием имплантата [39]. Однако, несмотря на указанный недостаток, кожно-жи-ровые вкладыши-имплантаты успешно применя-ются в современной хирургии орбиты [40,41].…”

<p>Primary Dermis Fat Grafting for Socket Reconstruction: Retrospective Comparison of Electrocoagulation versus Scalpel Dissection for Epidermis Removal</p>

“…Since its resurrection by Smith and Petrelli in 1978, 1 dermis-fat grafting (DFG) has been proved to be effective in anophthalmic socket reconstruction as either a primary or a secondary implant. [2][3][4] It augments both volume and surface of the anophthalmic socket while avoiding the disadvantages of allogenic orbital implants. The fat component of these composite grafts restores the orbital volume, while the dermis acts as a scaffold for surface epithelialization and provides a rigid substratum to which the conjunctiva and extraocular muscles can be sutured.…”