The posterior auricular muscle complex graft as a porous orbital implant wrap: long-term follow-up over a 31-year period.

Naugle, Thomas C; Thompson, John P; Ford, Joshua R; Acosta, Kyle V; Caplan, Chad M; Callahan, Michael A; Pharo, Austin M; Laplant, Jacquelyn F; Azar, Susan E; Fry, Constance L

Naugle, Thomas C; Thompson, John P; Ford, Joshua R; Acosta, Kyle V; Caplan, Chad M; Callahan, Michael A; Pharo, Austin M; Laplant, Jacquelyn F; Azar, Susan E; Fry, Constance L.

Afiliação

Naugle TC; Department of Ophthalmology, Tulane University School of Medicine, New Orleans, LA, USA.
Thompson JP; Department of Ophthalmology, Louisiana State University at New Orleans, New Orleans, Louisiana, USA.
Ford JR; Department of Ophthalmology, Tulane University School of Medicine, New Orleans, LA, USA.
Acosta KV; Department of Ophthalmology, Tulane University School of Medicine, New Orleans, LA, USA.
Caplan CM; Department of Ophthalmology, Tulane University School of Medicine, New Orleans, LA, USA.
Callahan MA; Department of Ophthalmology and Visual Sciences, University of Alabama School of Medicine at Birmingham, Birmingham, Alabama, USA.
Pharo AM; Department of Ophthalmology, Louisiana State University at New Orleans, New Orleans, Louisiana, USA.
Laplant JF; Department of Ophthalmology, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Azar SE; Department of Ophthalmology, Tulane University School of Medicine, New Orleans, LA, USA.
Fry CL; Department of Ophthalmology, University of Texas Health at San Antonio, San Antonio, Texas, USA.

Orbit ; : 1-7, 2023 Nov 27.

Article em En | MEDLINE | ID: mdl-38009237

ABSTRACT

ABSTRACT

PURPOSE:

Orbital implant exposures, infections, and extrusions can occur many years following enucleation or evisceration. This study analyzes complication rates following porous orbital implant wrapped with a posterior auricular muscle complex graft (PAMCG).

METHODS:

This is a retrospective study of patients who underwent orbital implantation following enucleation using this technique between 1992 and 2013. Only cases with a minimum of 18 months of follow-up were included. No patients underwent peg implantation. Patient's demographics, follow-up time, type of implant, complications including wound dehiscence, exposure, postoperative infection, and extrusion were recorded.

RESULTS:

This study included 36 orbits of 36 patients with a mean age of 39.3 ± 23.2 years (range, 3-84 years). Thirty patients had hydroxyapatite implants and six had porous polyethylene. The average follow-up time was 12.6 ± 5.6 years (range, 1.5-31.0 years). There were no implant extrusions, and only one exposure resulting in orbital infection that necessitated implant removal (2.8%).