Management of Exposed Porous Orbital Implant with Autogenous Dermis Graft

ABSTRACT

PURPOSE: This study was to evaluate the effectiveness of autogenous dermis graft in managing the exposed porous orbital implants. METHOD: Nine cases with exposed orbital implants(hydroxyapatite or Medpor(R)) were included in this study six cases with hydroxyapatite and the remaining three cases with Medpor(R). Each of the cases was repaired with autogenous dermis graft. RESULTS: The mean follow-up was 13.3 months. Of nine cases, seven implants remained covered at the last visit. During the follow-up period, three of them received a second dermis patch graft surgery for re-exposure. The final success rate was 77.7%. CONCLUSION: These results suggested that autogenous dermis graft served as an excellent material for repair of the exposed porous orbital implants.