Dermis-fat graft for anophthalmic socket reconstruction: indications and outcomes

Detalhes bibliográficos
Autor(a) principal: Galindo-Ferreiro,Alicia
Data de Publicação: 2018
Outros Autores: Khandekar,Rajiv, Hassan,Sultan Al, Al-Hammad,Fatimah, Al-Subaie,Hamad, Artioli Schellini,Silvana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos brasileiros de oftalmologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492018000500366
Resumo: ABSTRACT Purpose: To evaluate the outcomes of dermis-fat graft procedure for orbital volume replacement in anophthalmic socket. Methods: A retrospective chart review was performed studying all dermis-fat graft surgeries done at King Khlaed Eye Specialist Hospital in the last 10-year period. Sixty-two anophthalmic socket carriers underwent dermis-fat graft during the study period. Data were collected on characteristics of the patients, postoperative complications, cosmesis, and functional results such as the ability to hold an external prosthesis. Results: Mean age of the patients included in the study was 34.2 ± 9.7 years. There were 38.7% of patients with grade 3 anophthalmic socket, 64.5% of patients had an acquired anophthalmic socket, and dermis-fat graft was performed as a secondary procedure in 61.3% of patients. Postoperative complications included lagophthalmos (22.6%), graft necrosis (17.7%), pyogenic granuloma (12.9%), decreased graft size (12.9%), malpositioned lids (3.2%), and volume deficiency (3.2%). The prosthesis was held in place in 49 patients (79%) preoperatively and in 55 patients (88.7%) postoperatively. Conclusion: Dermis-fat graft is an excellent option for congenital or acquired as well as primary or secondary anophthalmic sockets, with or without contraction. The outcomes are favorable, and complications are rare.
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spelling Dermis-fat graft for anophthalmic socket reconstruction: indications and outcomesAnophthalmos/surgeryOrbitDermisAdipose tissue/transplantationRetrospective studyABSTRACT Purpose: To evaluate the outcomes of dermis-fat graft procedure for orbital volume replacement in anophthalmic socket. Methods: A retrospective chart review was performed studying all dermis-fat graft surgeries done at King Khlaed Eye Specialist Hospital in the last 10-year period. Sixty-two anophthalmic socket carriers underwent dermis-fat graft during the study period. Data were collected on characteristics of the patients, postoperative complications, cosmesis, and functional results such as the ability to hold an external prosthesis. Results: Mean age of the patients included in the study was 34.2 ± 9.7 years. There were 38.7% of patients with grade 3 anophthalmic socket, 64.5% of patients had an acquired anophthalmic socket, and dermis-fat graft was performed as a secondary procedure in 61.3% of patients. Postoperative complications included lagophthalmos (22.6%), graft necrosis (17.7%), pyogenic granuloma (12.9%), decreased graft size (12.9%), malpositioned lids (3.2%), and volume deficiency (3.2%). The prosthesis was held in place in 49 patients (79%) preoperatively and in 55 patients (88.7%) postoperatively. Conclusion: Dermis-fat graft is an excellent option for congenital or acquired as well as primary or secondary anophthalmic sockets, with or without contraction. The outcomes are favorable, and complications are rare.Conselho Brasileiro de Oftalmologia2018-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492018000500366Arquivos Brasileiros de Oftalmologia v.81 n.5 2018reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.5935/0004-2749.20180073info:eu-repo/semantics/openAccessGalindo-Ferreiro,AliciaKhandekar,RajivHassan,Sultan AlAl-Hammad,FatimahAl-Subaie,HamadArtioli Schellini,Silvanaeng2018-08-31T00:00:00Zoai:scielo:S0004-27492018000500366Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2018-08-31T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false
dc.title.none.fl_str_mv Dermis-fat graft for anophthalmic socket reconstruction: indications and outcomes
title Dermis-fat graft for anophthalmic socket reconstruction: indications and outcomes
spellingShingle Dermis-fat graft for anophthalmic socket reconstruction: indications and outcomes
Galindo-Ferreiro,Alicia
Anophthalmos/surgery
Orbit
Dermis
Adipose tissue/transplantation
Retrospective study
title_short Dermis-fat graft for anophthalmic socket reconstruction: indications and outcomes
title_full Dermis-fat graft for anophthalmic socket reconstruction: indications and outcomes
title_fullStr Dermis-fat graft for anophthalmic socket reconstruction: indications and outcomes
title_full_unstemmed Dermis-fat graft for anophthalmic socket reconstruction: indications and outcomes
title_sort Dermis-fat graft for anophthalmic socket reconstruction: indications and outcomes
author Galindo-Ferreiro,Alicia
author_facet Galindo-Ferreiro,Alicia
Khandekar,Rajiv
Hassan,Sultan Al
Al-Hammad,Fatimah
Al-Subaie,Hamad
Artioli Schellini,Silvana
author_role author
author2 Khandekar,Rajiv
Hassan,Sultan Al
Al-Hammad,Fatimah
Al-Subaie,Hamad
Artioli Schellini,Silvana
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Galindo-Ferreiro,Alicia
Khandekar,Rajiv
Hassan,Sultan Al
Al-Hammad,Fatimah
Al-Subaie,Hamad
Artioli Schellini,Silvana
dc.subject.por.fl_str_mv Anophthalmos/surgery
Orbit
Dermis
Adipose tissue/transplantation
Retrospective study
topic Anophthalmos/surgery
Orbit
Dermis
Adipose tissue/transplantation
Retrospective study
description ABSTRACT Purpose: To evaluate the outcomes of dermis-fat graft procedure for orbital volume replacement in anophthalmic socket. Methods: A retrospective chart review was performed studying all dermis-fat graft surgeries done at King Khlaed Eye Specialist Hospital in the last 10-year period. Sixty-two anophthalmic socket carriers underwent dermis-fat graft during the study period. Data were collected on characteristics of the patients, postoperative complications, cosmesis, and functional results such as the ability to hold an external prosthesis. Results: Mean age of the patients included in the study was 34.2 ± 9.7 years. There were 38.7% of patients with grade 3 anophthalmic socket, 64.5% of patients had an acquired anophthalmic socket, and dermis-fat graft was performed as a secondary procedure in 61.3% of patients. Postoperative complications included lagophthalmos (22.6%), graft necrosis (17.7%), pyogenic granuloma (12.9%), decreased graft size (12.9%), malpositioned lids (3.2%), and volume deficiency (3.2%). The prosthesis was held in place in 49 patients (79%) preoperatively and in 55 patients (88.7%) postoperatively. Conclusion: Dermis-fat graft is an excellent option for congenital or acquired as well as primary or secondary anophthalmic sockets, with or without contraction. The outcomes are favorable, and complications are rare.
publishDate 2018
dc.date.none.fl_str_mv 2018-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492018000500366
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492018000500366
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/0004-2749.20180073
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
dc.source.none.fl_str_mv Arquivos Brasileiros de Oftalmologia v.81 n.5 2018
reponame:Arquivos brasileiros de oftalmologia (Online)
instname:Conselho Brasileiro de Oftalmologia (CBO)
instacron:CBO
instname_str Conselho Brasileiro de Oftalmologia (CBO)
instacron_str CBO
institution CBO
reponame_str Arquivos brasileiros de oftalmologia (Online)
collection Arquivos brasileiros de oftalmologia (Online)
repository.name.fl_str_mv Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)
repository.mail.fl_str_mv aboonline@cbo.com.br||abo@cbo.com.br
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