Frontal periosteum as an exposed orbital implant cover.
OBJECTIVE
To describe the surgical technique of harvesting frontal bone periosteum, through an eyelid-crease incision, for coverage of orbital implants.


METHODS
A retrospective review of the medical records of 15 patients who underwent the procedure.


RESULTS
Eleven patients had surgery to cover exposed orbital implants, whereas in 4 patients the periosteal graft was used as an implant cover during enucleation. Periosteal grafts as large as 25 mm in diameter can be harvested. Recurrent exposure developed in 2 patients who had complicated histories of local trauma. One of these patients required a secondary dermis-fat graft, and the other experienced spontaneous granulation. The remaining 13 patients had excellent results without complications.


CONCLUSIONS
Harvesting frontal bone periosteum, through an eyelid-crease incision, for orbital implant coverage is a relatively straightforward surgical technique. The procedure can be performed in the office under local anesthesia and yields excellent results. Recurrent exposure occurred only in 2 patients with histories of significant local trauma.
Massry
G G
GG
Sinskey Eye Institute, Santa Monica, California, USA.
Holds
J B
JB
D000328:Adult; D005143:Eyelids / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005624:Frontal Bone / Q000637:transplantation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D020273:Orbital Implants; D010521:Periosteum / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome