title: Complications of dermis-fat orbital implantation.
abstract: Primary dermis-fat implantation can be effectively performed in cases without pre-existing systemic vascular disease or orbital burns. Meticulous handling of the graft (using a Goeller trephine and Tenon's capsule traction sutures), filleting Tenon's capsule, and avoiding cautery of the graft bed may minimize graft necrosis and atrophy. Pyogenic granulomas of the conjunctival-graft interface and graft hirsutism are easily managed. Keratinization of the socket, graft wound dehiscence, donor site hematomas, and wound dehiscence are avoided with careful surgical technique. Secondary dermis-fat orbital implantation may add orbital volume and conserve the conjunctival fornices, but may also suffer a slightly increased frequency and amount of graft absorption.
authors: S L
authors: SL
authors: Bosniak
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D015353:Eye Enucleation; D006801:Humans; D009915:Orbit / Q000601:surgery*; D011183:Postoperative Complications; D016038:Skin Transplantation / Q000009:adverse effects*