Enxerto dermoadiposo em cavidades anoftálmicas secundárias - estudo retrospectivo e revisão da literatura

Abstract

Purpose: To evaluate the dermofat graft in the anophthalmic socket treatment. Methods: A retrospective study including 28 anophthalmic cavity carriers treated with dermofat graft was carried out. The patients were analyzed according to age, sex, socket contraction degree, first surgery performed, reason for graft choice, procedure's results and complications. The data were analyzed according to the frequency of occurrence. Results: Nineteen (67.8%) of the 28 analyzed patients were male. According to age the majority of patients were between 40 to 60 years old (13 patients - 46.4%) and the most common cause of eyeball loss was trauma (seven cases - 25%). Anophthalmic socket type III was the most frequently observed (32.1%). The evisceration was the first procedure in 13 cases, enucleation in 11 and skin graft was done in two patients. Two patients came to the service after evisceration and did not provide any information about the first surgery. The choice to use the dermofat graft was to replace volume at the socket of 12 patients (42.8%). Most of the patients (53.6%) had no complications and graft necrosis was the problem most frequently observed (32.1%). The surgery was considered good in 71.4% and not good in only 7.1%. Conclusion: the dermofat graft is an efficient and easy technique to reconstruct the anophthalmic cavity. The authors suggest this procedure must be introduced in the medical training services since it provide good results.