Sostituzione primaria per la gestione degli impianti orbitali esposti

8 Aprile 2019


Primary replacement for the management of exposed orbital implant.

Article in Orbit · February 2019 Curragh, David & Kamalarajah, Srikandan & Lacey, Brendan & T. White, Stephen & A. McNab, Alan & Kalantzis, George & J. Dolman, Peter & Selva, Dinesh & Rajak, Saul. (2019).

Purpose: We present a series of primary orbital implant replacement for cases of implant exposure to describe our experience of this one-staged surgical approach.

Methods: This study reports on a one-stage technique which involved the removal of the exposed implant or dermis fat graft (DFG) and insertion of a secondary (replacement) in the same procedure, with a variety of materials, including autologous tissue. Re-exposure in a socket where a DFG was placed was defined as a new defect in the newly epithelialized conjunctiva or dehiscence of the dermis-conjunctiva junction. All cases of primary replacement for the management of exposed orbital implant, porous and non-porous, were included, even when there were clinical signs suggestive of infection. The primary outcome was the rate of re-exposure, requiring additional surgical procedures. Infection following primary replacement was a secondary outcome.

Results: Seventy-eight patients had primary replacement for the management of an exposed orbital implant. 6.4% had re-exposure at a mean follow-up of 49.7 months (9.1% for ball implants and 4.5% for DFG). The rate of exposure was higher in those with prior signs of infection than those without (8% vs. 3.6%). Re-exposure occurred in 4.5% of cases with DFG implantation, 4.3% of cases with non-porous implants and in 20% of cases with porous implants.

Conclusion: Primary replacement for management of exposed orbital implant, porous and non-porous, has a high rate of successful outcome even in cases with presumed or confirmed infection.


Do you want to read the rest of this article? 

ResearchGate

 

 


 

7 risposte a “Sostituzione primaria per la gestione degli impianti orbitali esposti”

  1. I’m highly satisfied with your way with words-at all because snugly as with layout, design in your blog site suppliers of Plastic Artificial Eyes. Is this a new paid matter or perhaps would you personalize it on your own? Anyway stay within the exceptional good quality publishing, it really is uncommon to find out an awesome blog site like this one currently.

  2. TomiHope ha detto:

    WOW just what I was looking for. Came here by searching for |

  3. You could absolutely visit passion while in the function you’re. This industry desires of extra fervent authors just like you who aren’t worried to mention how they believe. At all times comply with the center Artificial Eye Indore.

  4. mama bear shirt ha detto:

    Appreciating the persistence you put into your website and in depth information you provide.
    It’s nice to come across a blog every once in a while
    that isn’t the same outdated rehashed material.
    Excellent read! I’ve bookmarked your site and I’m
    adding your RSS feeds to my Google account.

  5. Artificial Eye ha detto:

    I love the precious facts anyone offer as part of your articles or blog posts. I am going to bookmark your site look all over again in this article regularly.. Artificial Eye We’re pretty ‘ will be well informed plenty of completely new stuff right here! All the best ! for the following!

Lascia un commento

Il tuo indirizzo email non sarà pubblicato. I campi obbligatori sono contrassegnati *