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Online J Otolaryngol. 2015; 5(2): 115-122


PRIMARY DERMIS FAT GRAFT IMPLANTATION IN ORBIT AFTER EVISCERATION

Sandeep K, Sudhakar NA, Chidananada KV, Aishwarya KC, Privila E, Zeeshan Sayani, Sudhir M Naik.

Abstract
Background:
Orbital implants allow for cosmesis and volume replacement of an eviscerated eye. Dermis fat graft is a viable alternative to alloplastic implants as a primary orbital implant following ocular evisceration.

Aim/Objectives:
To provide evidence for dermal fat graft as a safe and stable orbital volume replacement following ocular evisceration.

Methodology:
A prospective, interventional, non-comparative case series of patients who had an primary autologous dermis graft after evisceration.All the patients fulfilling the criteria were identified. At 6 weeks post-operatively, patients received an ocular prosthesis.
The volume of the dermis-fat grafted globe was measured at 1 month and 9 months post-operatively by plain magnetic resonance imaging of the orbit.

Results:
Ten patients underwent ocular evisceration and dermis fat graft implant.Nine patients completed the study.Out of 10 patients 60% (6) were males and 40% (4) were females.Suture abscess was noted in 20% patients, hair growth in the dermis in 10%, sub conjunctival cysts in 10% patients.Cosmetic outcome showed very good result in 50% patients with good prosthetic motility in 60%.

Conclusion:
This case series shows that the use of a dermis graft is a safe and effective new technique to facilitate orbital rehabilitation. It is hypothesised that the extra surface area produced with a dermis graft preserves the fornices and allows a larger implant.

Key words: dermis graft, primary dermis fat graft, Evisceration of orbit



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