Combined use of bulbar conjunctival pedicle flap and labial mucous membrane graft for porous orbital implant exposure: Long-term outcome

Orbit
Kent ChowAlan A McNab

Abstract

Implant exposure is the most common serious complication of porous orbital implants, and often requires surgical repair. This study aims to describe a new repair technique using a bulbar conjunctival pedicle flap and a labial mucous membrane patch graft, as well as to report its long-term results. A retrospective chart review was performed on all patients whose porous orbital implant exposures were repaired using this technique from 1995 to 2014. Twenty-three patients were included. The maximal defect dimension ranged from 2 to 18 mm. Sixteen patients (70%) also received a banked human scleral patch graft during their repair. The mean follow-up was 130 months (range 29-267 months). Eighteen patients (78%) were successfully treated with one repair surgery. At the final follow-up, 21 patients (91%) could comfortably wear a prosthetic eye, and 18 patients (78%) reported satisfactory cosmesis. Two patients (9%) developed small conjunctival cysts that were successfully excised. The combination of a bulbar conjunctival pedicle flap and a labial mucous membrane patch graft is a simple but effective technique in salvaging exposed porous orbital implants. Its long-term results are promising.

References

Jun 15, 1992·American Journal of Ophthalmology·H Buettner, G B Bartley
Oct 1, 1994·Ophthalmology·Y D KimK D Steinsapir
Sep 1, 1994·The British Journal of Ophthalmology·C L ShieldsA D Singh
Dec 8, 1998·Ophthalmic Plastic and Reconstructive Surgery·C N Soparkar, J R Patrinely
Apr 6, 1999·Ophthalmic Plastic and Reconstructive Surgery·G G Massry, J B Holds
Sep 14, 1999·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·J P SchmitzS B Milam
Feb 21, 2002·Japanese Journal of Ophthalmology·Sang Yeul LeeHye Young Kim
Apr 26, 2002·The British Journal of Ophthalmology·J S Mehta, W A Franks
Jan 1, 2004·European Journal of Ophthalmology·H SalourA Farahi
Jun 19, 2004·The British Journal of Ophthalmology·M S Sagoo, J M Olver
Sep 21, 2004·Ophthalmic Plastic and Reconstructive Surgery·David R Jordan
Dec 24, 2004·The British Journal of Ophthalmology·S L LiaoL L-K Lin
Mar 5, 2005·Ophthalmology·Hatem A TawfikJonathan J Dutton
Nov 23, 2006·Ophthalmic Plastic and Reconstructive Surgery·Safak KarsloğluSule Ziylan
Jan 24, 2007·Ophthalmic Plastic and Reconstructive Surgery·Philip L Custer, Kathryn M Trinkaus
May 24, 2007·Ophthalmic Plastic and Reconstructive Surgery·David A WeinbergRobert Alan Goldberg
Aug 30, 2007·Journal of Zhejiang University. Science. B·Yan-hong Chen, Hong-guang Cui
Sep 15, 2007·Ophthalmology·Jin Sook YoonSang Yeul Lee
Jun 5, 2010·Ophthalmic Plastic and Reconstructive Surgery·Brian J LeeJulian D Perry
May 4, 2011·Japanese Journal of Ophthalmology·Kyung-Chul YoonMin-Suk Kook
Jul 21, 2011·The Journal of Craniofacial Surgery·Linna LuXianqun Fan
Jun 7, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jay A FishmanPaolo A Grossi
Jul 15, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Nuria Ibáñez-FloresAkiel Asvat

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