Tarsal Patch‐Flap for Orbital Implant Exposure
作者:
Charles Soparkar,
James Patrinely,
期刊:
Ophthalmic Plastic and Reconstructive Surgery
(OVID Available online 1998)
卷期:
Volume 14,
issue 6
页码: 391-397
ISSN:0740-9303
年代: 1998
出版商: OVID
关键词: Porous;Implant;Exposure;Hydroxyapatite;Polyethylene;Patch-flap.
数据来源: OVID
摘要:
Summary:The authors determine the efficacy of a new technique, thetarsal patch-flap, in the management of postenucleation and postevisceration porous orbital implant exposures that are recalcitrant to other surgical approaches. All patients treated during a 30-month period with recurrent orbital implant exposures who failed at least one surgical attempt at defect closure were treated using a tarsal patch-flap, a fornix-based tarsoconjunctival flap from the upper eyelid. Eight patients, six after enucleation and two after evisceration, were treated with a tarsal patch-flap. Five implants were porous polyethylene and three were hydroxyapatite. The defect size ranged from 4 mm to 12 mm (largest dimension). All eight patients have maintained closure of their defects for a mean follow-up of 13.8 months (range, 4–30 months). The vascularized tarsal patch-flap provides an excellent alternative surgical approach to the management of recurrent orbital implant exposures recalcitrant to Tenon-conjunctival advancement and autologous fascia grafting.
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