Deepening Fornix Technique Using Central Split-Medium Thickness Skin Graft to Treat Contracted Anophthalmic Sockets

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dc.contributor.authorAlHassan, Sultan
dc.contributor.authorGalindo-Ferreiro, Alicia
dc.contributor.authorKhandekar, Rajiv [UNESP]
dc.contributor.authorAlShaikh, Osama [UNESP]
dc.contributor.authorSchellini, Silvana Artioli [UNESP]
dc.contributor.institutionKing Khalid Eye Specialist Hosp
dc.contributor.institutionRio Hortega Univ Hosp
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2019-10-04T12:31:02Z
dc.date.available2019-10-04T12:31:02Z
dc.date.issued2018-09-01
dc.description.abstractPurpose: The aim of thhis study was to present the outcomes of postauricular split-medium thickness skin graft (SMTSG) to treat anophthalmic sockets with contracted fornices. Methods: This case series enrolled patients with grade 2 or 3 anophthalmic sockets between 2015 and 2016. Data were collected on patient demographics, objective and subjective parameters preoperatively and 180 days postoperatively. Success of the surgery was graded on the height of the graft, the depth of the superior and inferior fornices, and presence/abscence of lagophthalmos, entropion, and ability to retain an external prosthesis. Results: Eighteen patients were enrolled with a mean age of 35.91 +/- 18 years. The median height of the graft was 22 rum (25% quartile = 18.75) when removed and 20 nun (25% quartile = 16) postoperatively. The median depth of the superior fornix was 6.5 mm (25% quartile = 4.5 mm) preoperatively and 10 mm (25% quartile = 8 mm) postoperatively (P = 0.5). The median inferior fornix depth was 7 mm (25% quartile = 3.5 mm) preoperatively and 8 nun (25% quartile = 5 mm) (P = 0.27) postoperatively. Preoperatively, there were 13 (72.2%) patients with lagophthalmos, 10 (44.4%) with entropion, 3 (37.5%) with poor prosthesis retention, and 5 (62.5%) who were unable to retain the prosthesis. Postoperatively, 7 (38.9%) patients had lagophthamos, 1 (5.6%) had entropion, and all the patients could retain the prosthesis. None of the sockets had a foul odor postoperatively. Conclusions: Postauricular SMTSG achieves successful outcomes for the treatment of contracted anophthalmic sockets, reshaping the anterior socket surface and deepening the fornices.en
dc.description.affiliationKing Khalid Eye Specialist Hosp, Riyadh, Saudi Arabia
dc.description.affiliationRio Hortega Univ Hosp, Dept Ophthalmol, Dulzaina St 2, Valladolid 47012, Spain
dc.description.affiliationUniv Estadual Paulista, Fac Med Botucatu, Dept Ophthalmol, Sao Paulo, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Fac Med Botucatu, Dept Ophthalmol, Sao Paulo, Brazil
dc.format.extent1607-1611
dc.identifierhttp://dx.doi.org/10.1097/SCS.0000000000004601
dc.identifier.citationJournal Of Craniofacial Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 29, n. 6, p. 1607-1611, 2018.
dc.identifier.doi10.1097/SCS.0000000000004601
dc.identifier.issn1049-2275
dc.identifier.urihttp://hdl.handle.net/11449/184906
dc.identifier.wosWOS:000446583200094
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofJournal Of Craniofacial Surgery
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectContracted socket
dc.subjectfornix deepening
dc.subjectpostauricular graft
dc.subjectsplit medium thickness skin graft
dc.titleDeepening Fornix Technique Using Central Split-Medium Thickness Skin Graft to Treat Contracted Anophthalmic Socketsen
dc.typeArtigo
dcterms.rightsHolderLippincott Williams & Wilkins
unesp.author.orcid0000-0002-8854-9625[2]
unesp.author.orcid0000-0002-3925-1005[3]
unesp.author.orcid0000-0002-6938-1230[5]
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Artigos - Oftalmo/Otorrino e CCP - FMB