PURPOSE: To determine if porous polyethylene orbital implant (Medpor) exposure can be prevented in retinoblastoma patients when the implant is placed in combination with a free orbital fat graft over the anterior surface of the implant. METHODS: Free orbital fat grafts were performed after enucleation and Medpor implantation, and results were compared with patients who underwent conventional enucleation and Medpor implantation without an orbital fat graft. RESULTS: Although implant exposure occurred in 13 of 39 eyes (33.3%) that had conventional enucleation and Medpor implantation, exposure did not develop in any of the 38 eyes that had the combined procedure with a free orbital fat graft. CONCLUSIONS: These findings suggest that a free orbital fat graft is a simple, effective way to prevent orbital implant exposure in patients requiring enucleation and Medpor implantation.
PURPOSE: To determine if porous polyethylene orbital implant (Medpor) exposure can be prevented in retinoblastomapatients when the implant is placed in combination with a free orbital fat graft over the anterior surface of the implant. METHODS: Free orbital fat grafts were performed after enucleation and Medpor implantation, and results were compared with patients who underwent conventional enucleation and Medpor implantation without an orbital fat graft. RESULTS: Although implant exposure occurred in 13 of 39 eyes (33.3%) that had conventional enucleation and Medpor implantation, exposure did not develop in any of the 38 eyes that had the combined procedure with a free orbital fat graft. CONCLUSIONS: These findings suggest that a free orbital fat graft is a simple, effective way to prevent orbital implant exposure in patients requiring enucleation and Medpor implantation.
Authors: Yevgeniy Shildkrot; Maria Kirzhner; Barrett G Haik; Ibrahim Qaddoumi; Carlos Rodriguez-Galindo; Matthew W Wilson Journal: Ophthalmology Date: 2011-12 Impact factor: 12.079
Authors: Francesco Inchingolo; Marco Tatullo; Andrea Pacifici; Marco Gargari; Alessio D Inchingolo; Angelo M Inchingolo; Gianna Dipalma; Massimo Marrelli; Fabio M Abenavoli; Luciano Pacifici Journal: Head Face Med Date: 2012-12-05 Impact factor: 2.151