Otolaryngology Online Journal

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Review Article - Otolaryngology Online Journal (2015) Volume 5, Issue 2

Primary dermis fat graft implantation in orbit after evisceration

Background: Orbital implants allow for Cosmesis and vol-ume replacement of an eviscerated eye. Der-mis fat graft is a viable alternative to allo-plastic 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 au-tologous 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 imag-ing of the orbit. Results: Ten patients underwent ocular evisceration and dermis fat graft implant. Nine patients complet-ed 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 ex-tra surface area produced with a dermis graft pre-serves the fornices and allows a larger implant.

Author(s): Sandeep K, Sudhakar N A, KV Chidananada, K C Aishwarya, Privila E, Zeeshan Sayani, Sudhir M Naik

Abstract Full Text PDF