Reconstruction of the Orbit and Anophthalmic Socket Using the Dermis Fat Graft: A Major Review.

Ophthalmic Plastic and Reconstructive Surgery
Nina JovanovicAlon Kahana

Abstract

To perform a comprehensive review of dermis fat graft (DFG) in socket reconstruction and illustrate the technical nuances and outcomes using a retrospective case review. A literature search of 143 texts was reviewed. A retrospective case series of 34 patients following primary or secondary DFG after enucleation at a single institution (2009-2019) was performed. Clinical outcomes were statistically analyzed. Variables investigated included age, sex, race, surgical indication, muscle reattachment, complications, motility, eyelid position, prosthesis fit, and need for additional surgery. The history of DFG, use in socket reconstruction, primary and secondary indications, and surgical techniques are described. Thirty-two adults and 2 pediatric cases of DFG were reviewed; 18.75% indications were primary and 81.25% were secondary. Good eyelid position was observed in 83.3% of patients with primary DFG versus 37.5% with secondary DFG (p = 0.07). Postoperative complications occurred in 58.8% of patients, were typically mild, and resolved with minimal or no intervention. No statistically significant differences were found between occurrence of any particular complication in primary versus secondary DFG placement (p = 0.36) or between pr...Continue Reading

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Citations

Jun 20, 2021·Indian Journal of Ophthalmology·Yoav VardizerOren Tomkins-Netzer
Jul 8, 2021·Acta Ophthalmologica·Larissa A HabibNahyoung Grace Lee
Aug 17, 2021·Clinical Ophthalmology·Francesco M Quaranta-LeoniMatteo Di Marino
Aug 25, 2021·Indian Journal of Ophthalmology·Bipasha Mukherjee

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