Pericranium grafts for exposed orbital implants: An observational case-series study

Ibáñez-Flores, Nuria; Serrano, Maravillas Abia; Aznar-Peña, Irene; F, Mascaró-Zamora; Castellar-Cerpa, J.; Anaya-Alaminos, Roberto; Prieto-Briceño, Sebastián; Asvat, Akiel

doi:10.1016/j.jcms.2015.06.008

Cited by 6 publications

(4 citation statements)

References 18 publications

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“…In six patients with exposure of large primary implants, we have obtained excellent outcomes of the use of pericranium graft in terms of re-exposure rates. 13 The present study examines the use of this tissue to cover a large porous polyethylene implant in patients with insufficient orbital volume due to various reasons. The objective of this simultaneous implant/grafting procedure is to provide the socket with the greatest possible volume while maintaining adequate conjunctival sac space and avoiding excessive tension in the covering tissues.…”

Section: Discussionmentioning

confidence: 99%

“…11 Among these, autologous pericranium has been described as a safe and effective covering material for exposed primary or secondary orbital implants. 12,13 The aim of this study was to report outcomes of the use of autologous pericranium graft in association with a large primary or secondary orbital implant in patients with large orbital volume deficits. As far as we know, this is the largest series reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Autologous pericranium grafts for large orbital implants

Flores

Secondi

Rangel

2020

European Journal of Ophthalmology

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Introduction: Insufficient orbital volume in an anophthalmic socket is a major problem for the placement of an ocular prosthesis. This study reports the outcomes of the use of autologous pericranium graft in association with a large primary or secondary orbital implant in patients with a contracted socket and large orbital volume deficit. Methods: This was a retrospective single-institution study. Participants were 13 patients with contracted socket, volume deficit, and insufficient conjunctiva to cover the new implant divided into two groups, A ( n = 3) and B ( n = 10), according to the baseline condition of the socket. Surgery was primary evisceration (group A only) and placement of a large orbital implant followed by an autologous pericranium graft over the implant (groups A and B). Results: Mean follow-up duration for the patient series was 9.5 months (range 9–24). Complete epithelialization of the pericranium graft was recorded at 47.3 days of follow-up (range 33–67). No cases of implant exposure or shrinkage were noted during follow-up. Main postoperative complications were conjunctival granuloma (five patients, 38.5%), conjunctival seroma (one patient, 7.7%). All patients were satisfied with the aesthetic outcome. Conclusion: Autologous pericranial graft was effective in reconstructing the contracted socket so that the anophthalmic socket could accommodate a larger or secondary orbital implant. The efficacy of this procedure needs to be confirmed in a larger patient series.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Autologous pericranium grafts for large orbital implants

Flores

Secondi

Rangel

2020

European Journal of Ophthalmology

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“…19 Specifically, this PMMA implant exhibited a grossly semispherical geometry provided with four anterior mounds that matched four corresponding depressions on the posterior surface of the ocular prosthesis. 24,25 Furthermore, there are other factors not directly related to the implants which can lead to postoperative complications, such as bad surgical technique or patient's systemic diseases. It is worth pointing out that there was no interruption of conjunctival lining, but the irregular anterior surface of the implant was used to improve translation of implant movement to external prosthesis movement.…”

Section: Introductionmentioning

confidence: 99%

“…22,23 Exposure in porous implants can be treated with conservative management using pharmacological treatment or salvage strategies (anterior apposition of scleral or polymeric patches), without the need for implant removal and replacement with a new one. 24,25 Furthermore, there are other factors not directly related to the implants which can lead to postoperative complications, such as bad surgical technique or patient's systemic diseases.…”

Section: Introductionmentioning

confidence: 99%

Bioactive glass and glass‐ceramic orbital implants

Baino

Verné

Fiume

et al. 2019

Int J Applied Ceramic Tech

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This review focuses on the applications of bioactive glasses and glass‐ceramics in the field of orbital implants for ocular surgery. This use is relatively novel and less popular compared to the applications in orthopedics and dentistry for the repair of bone and teeth. Recent studies have shown the suitability of bioactive glasses and glass‐ceramics in contact with soft tissues for promoting additional effects associated to the release of therapeutic inorganic ions. Specifically, the angiogenic and antibacterial actions that may be elicited by selected glass compositions are highly appealing for the development of new‐generation orbital implants, since improved vascularization and antiseptic properties are the key for a higher success rate of anophthalmic socket procedures. An overall picture of existing orbital implants based on bioactive glasses is here provided, and the further potential and open challenges for future research in this field are highlighted and discussed.

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Management of Implant Exposure and Extrusion

Erickson

2019

Anophthalmia

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Pericranium grafts for exposed orbital implants: An observational case-series study

Cited by 6 publications

References 18 publications

Autologous pericranium grafts for large orbital implants

Autologous pericranium grafts for large orbital implants

Bioactive glass and glass‐ceramic orbital implants

Management of Implant Exposure and Extrusion

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