Management of Complications Following Dermis-Fat Grafting for Anophthalmic Socket Reconstruction

Shore, John W.; McCord, Clinton D.; Bergin, Donald J.; Dittmar, Susan J.; Maiorca, John P.; Burks, William R.

doi:10.1016/s0161-6420(85)33865-4

Cited by 46 publications

(15 citation statements)

References 8 publications

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“…And in cases with volume loss, further DFG might be required. 15 One of the major complications is loss of the transplanted tissue due to necrosis after infection or of an unknown cause. Fortunately, this is not a common complication.…”

Section: Discussionmentioning

confidence: 99%

“…16,17 Poor socket vasculature with socket contracture, prior history of severe orbital trauma, chronic orbital inflammation, postoperative orbital volume loss with fat atrophy, or surgical removal of posterior orbital volume at the time of enucleation are predisposing factors for graft ulceration and necrosis. 15 We had one patient from the secondary DFG group who had infection and contraction of the socket. He was also suffering from diabetes and hypertension that could affect wound healing.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Orbital Dermis-Fat Graft Transplantation: Results in Primary and Secondary Implantation

Karataş¹,

Yaycıoğlu²,

Canan³

2015

tjo

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Objectives: Autologous dermis fat graft (DFG) is being used in both primary and secondary socket surgeries. In the present study, we aimed to evaluate patients' satisfaction and possible intra-and postoperative complications in patients who had DFG transplantation. Ma te ri als and Met hods:In this retrospective study, the results of 17 patients who were operated between October 2008 and October 2012 were evaluated. Of these cases, 7 had primary and 10 had secondary DFG. Patient satisfaction was evaluated by asking the patients to fill out a questionnaire graded from 1 (not satisfied) to 4 (very satisfied). Additionally, the incidence of complications and requirement for another operation was noted. Re sults: The average patient age was 30.5±17.9 years. Patients with primary grafts were 100% satisfied with the outcome and could wear their prosthesis without any discomfort. In this group, one patient had delay in epithelialisation of the graft and ptosis, which was treated with frontal sling surgery and artificial tears. In patients with secondary grafts, 6 patients (60%) were satisfied with the outcome. Four patients were not satisfied from the result. One had inferior lid laxity; however, after lateral tarsal strip surgery, she could wear her prosthesis. Another patient developed inferior forniceal adhesion. He was treated with mucous membrane grafting and artificial tears and could wear his prosthesis. One patient had infection and contraction of the socket due to inappropriate postoperative medication use. Following repeated DFG transplantation, he was able to wear his prosthesis. Another patient had fat atrophy prior to secondary DFG transplantation and developed atrophy of the graft following surgery. Her family refused additional surgery. This patient could not wear any prosthesis. Conclusion: According to our results, we believe that DFG transplantation is successful in primary implantation. In secondary cases, correct patient selection is important to achieve good outcome. (Turk J Ophthalmol 2015; 45: 65-70) Key Words: Dermis-fat graft, patient satisfaction, socket surgery Amaç: Otolog dermis-yağ grefti (DYG) primer ve sekonder soket cerrahilerinde kullanılmaktadır. Biz bu çalışmamızda DYG implantasyonu geçirmiş olguları, hasta memnuniyeti ve cerrahi sırası ve sonrasındaki komplikasyonlar açısından değerlendirmeyi amaçladık. Ge reç ve Yön tem: Retrospektif planlanan çalışmamızda Ekim 2008 ile Ekim 2012 arasında opere olan 17 olgu incelendi. Bunlardan 7 olguya primer, 10 olguya sekonder DYG implante edilmişti. Hastaların memnuniyeti bir sorgulama formunda derecesi 1 (memnuniyetsiz) ile 4 (çok memnun) arasında bir değeri seçmesi istenerek değerlendirildi. Ayrıca komplikasyonlar, sıklıkları ve farklı bir cerrahi ihtiyaçları not edildi. Bulgular: Olguların yaş ortalaması 30,5±17,9 yıl idi. Primer DYG implante edilmiş olguların memnuniyeti %100 düzeyindeydi ve protezlerini bir rahatsızlık olmadan kullanıyorlardı. Bu grupta sadece bir hastada epitelizasyonda gecikme ve pitozis gelişmişti ve tedavisinde için fr...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Orbital Dermis-Fat Graft Transplantation: Results in Primary and Secondary Implantation

Karataş¹,

Yaycıoğlu²,

Canan³

2015

tjo

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“…These grafts, however, have been associated with volume loss that is very unpredictable. 54,55 In addition, other complications including central graft necrosis, infection, and hair growth have been associated with these grafts. 54,55 Furthermore, long-term inflammatory cells have been found in these grafts many months following placement.…”

Section: Discussionmentioning

confidence: 99%

Porcine Dermal Collagen in Lower Eyelid Retraction Repair

Dailey

Marx

Ahn

2015

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…To achieve an ideal socket for fitting of prosthesis, various graft materials like conjunctiva (Vastine et al, 1982), mucous membrane (Bowen Jones and Nunes, 2002;Greear, 1948;Karesh and Putterman, 1988;Molgat et al, 1993;Klein et al, 2000;Lee, 2002), hard palate; mucosa (Sullivan and Dailey, 2003;Holck et al, 1999) skin (Betharia et al, 1990), muscle flaps (Liu et al, 1996), temporalis fascia El-Khatib, 2000;Neuhaus and Shorr, 1983), dermis fat graft (Przybyla, 1981;Shore et al, 1985), polytetrafluroethylene (Levin and Dutton, 1990) etc have been tried. Though skin conjunctival and mucous membrane graft have been used successfully in mild to moderate contracted socket, they have inherent disadvantages of foul smelling discharge, increased morbidity to the patient and shrinkage, which may alter final outcome of the surgery.…”

Section: Introductionmentioning

confidence: 99%

Amniotic Membrane Transplantation Versus Mucous Membrane Grafting in Anophthalmic Contracted Socket

Kumar

Sugandhi

Arora

et al. 2006

Orbit

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Management of Complications Following Dermis-Fat Grafting for Anophthalmic Socket Reconstruction

Cited by 46 publications

References 8 publications

Orbital Dermis-Fat Graft Transplantation: Results in Primary and Secondary Implantation

Orbital Dermis-Fat Graft Transplantation: Results in Primary and Secondary Implantation

Porcine Dermal Collagen in Lower Eyelid Retraction Repair

Amniotic Membrane Transplantation Versus Mucous Membrane Grafting in Anophthalmic Contracted Socket

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