Complications of dermis-fat orbital implantation.

Abstract

Primary dermis-fat implantation can be effectively performed in cases without pre-existing systemic vascular disease or orbital burns. Meticulous handling of the graft (using a Goeller trephine and Tenon's capsule traction sutures), filleting Tenon's capsule, and avoiding cautery of the graft bed may minimize graft necrosis and atrophy. Pyogenic granulomas of the conjunctival-graft interface and graft hirsutism are easily managed. Keratinization of the socket, graft wound dehiscence, donor site hematomas, and wound dehiscence are avoided with careful surgical technique. Secondary dermis-fat orbital implantation may add orbital volume and conserve the conjunctival fornices, but may also suffer a slightly increased frequency and amount of graft absorption.

• Authors: S L Bosniak
• Journal: Advances in ophthalmic plastic and reconstructive surgery (Adv Ophthalmic Plast Reconstr Surg) Vol. 8 Pg. 170-81 ( 1990) ISSN: 0276-3508 [Print] United States
• PMID: 2248708 (Publication Type: Journal Article, Review)

Topics

• Adipose Tissue (transplantation)
• Eye Enucleation
• Humans
• Orbit (surgery)
• Postoperative Complications
• Skin Transplantation (adverse effects)