The fat pad in dermis fat grafts.
BACKGROUND
Dermis fat grafts are used in orbital reconstruction in a variety of procedures. However, there have been few controlled studies testing their effectiveness. This is a prospective study on 40 patients.


METHODS
Primary and secondary orbital dermis fat grafts were evaluated with regard to the long-term cosmetic results of two thicknesses, 10 and 20 mm, of fat pad, keeping all other parameters as constant as possible. Adequacy of the socket, lid anomalies; superior sulcus deformity, exophthalmometry, and motility of the prosthesis were assessed periodically.


CONCLUSIONS
There was a significantly lower incidence of enophthalmos and superior sulcus deformity with the use of a fat pad thickness of 20 mm, without any compromise in the motility of the prosthesis or take of the graft.
Sihota
R
R
Dr. Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi.
Sujatha
Y
Y
Betharia
S M
SM
D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D003286:Contracture / Q000209:etiology / Q000601:surgery; D015353:Eye Enucleation; D005133:Eye Movements; D005137:Eye, Artificial; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009915:Orbit / Q000601:surgery*; D011183:Postoperative Complications; D011446:Prospective Studies; D019736:Prostheses and Implants; D012867:Skin; D013518:Surgery, Plastic