Buccal mucous membrane-fat graft in the management of the contracted socket.
A new surgical technique for reconstructing severely contracted sockets using an autogenous buccal mucous membrane-fat graft is presented. The buccal mucosa provides replacement of deficient conjunctival surface area; the fat in the underlying substantia propria of the buccal mucosa replenishes moderate volume deficiency in a single procedure. A custom-designed conformer is used in the immediate postoperative period to maintain reconstructed vertical fornices. We present four consecutive patients with contracted sockets having both a volume deficit and severe conjunctival contracture who were successfully rehabilitated using this technique.
Molgat
Y M
YM
Department of Ophthalmology, University of Toronto, Ontario, Canada.
Hurwitz
J J
JJ
Webb
M C
MC
D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D002610:Cheek; D003286:Contracture / Q000601:surgery*; D015353:Eye Enucleation; D005137:Eye, Artificial; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D009915:Orbit / Q000601:surgery*; D013518:Surgery, Plastic / Q000379:methods