Deepening Fornix Technique Using Central Split-Medium Thickness Skin Graft to Treat Contracted Anophthalmic Sockets.
J Craniofac Surg
; 29(6): 1607-1611, 2018 Sep.
Article
em En
| MEDLINE
| ID: mdl-29742574
ABSTRACT
PURPOSE:
The aim of thhis study was to present the outcomes of postauricular split-medium thickness skin graft (SMTSG) to treat anophthalmic sockets with contracted fornices.METHODS:
This case series enrolled patients with grade 2 or 3 anophthalmic sockets between 2015 and 2016. Data were collected on patient demographics, objective and subjective parameters preoperatively and 180 days postoperatively. Success of the surgery was graded on the height of the graft, the depth of the superior and inferior fornices, and presence/abscence of lagophthalmos, entropion, and ability to retain an external prosthesis.RESULTS:
Eighteen patients were enrolled with a mean age of 35.9â±â18 years. The median height of the graft was 22âmm (25% quartileâ=â18.75) when removed and 20âmm (25% quartileâ=â16) postoperatively. The median depth of the superior fornix was 6.5âmm (25% quartileâ=â4.5âmm) preoperatively and 10âmm (25% quartileâ=â8âmm) postoperatively (Pâ=â0.5). The median inferior fornix depth was 7âmm (25% quartileâ=â3.5âmm) preoperatively and 8âmm (25% quartileâ=â5âmm) (Pâ=â0.27) postoperatively. Preoperatively, there were 13 (72.2%) patients with lagophthalmos, 10 (44.4%) with entropion, 3 (37.5%) with poor prosthesis retention, and 5 (62.5%) who were unable to retain the prosthesis. Postoperatively, 7 (38.9%) patients had lagophthamos, 1 (5.6%) had entropion, and all the patients could retain the prosthesis. None of the sockets had a foul odor postoperatively.CONCLUSIONS:
Postauricular SMTSG achieves successful outcomes for the treatment of contracted anophthalmic sockets, reshaping the anterior socket surface and deepening the fornices.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Órbita
/
Anoftalmia
/
Transplante de Pele
/
Túnica Conjuntiva
Tipo de estudo:
Etiology_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article