Pericranium grafts for exposed orbital implants.
OBJECTIVE
To report the use of autologous pericranium grafts to cover exposed orbital implants.


METHODS
A two-center consecutive case series of exposed orbital implants covered with autologous pericranium grafts. A patch of pericranium was harvested from the parieto-occipital region and was placed over the implant within a pocket between the implant and the Tenon capsule, followed by layered closure of Tenon and conjunctiva.


RESULTS
Four patients (2 women, 2 men) with a mean age of 37 years (range, 26 to 45 years) were included in the study. The mean follow-up period was 9.5 months (range, 7 to 12 months). In all cases, there was no recurrence of exposure and no donor site morbidity. A small pyogenic granuloma, arising from the conjunctival suture line, developed in one case.


CONCLUSIONS
Autologous pericranium is a useful covering material for exposed orbital implants and may be used as an alternative to frontal periosteum.
Sheikh
Ijaz
I
Corneoplastic Unit, Queen Victoria Hospital, East Grinstead, United Kingdom.
Leibovitch
Igal
I
Selva
Dinesh
D
Daya
Sheraz
S
Malhotra
Raman
R
D000328:Adult; D005260:Female; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020273:Orbital Implants; D010294:Parietal Bone / Q000637:transplantation*; D011183:Postoperative Complications / Q000601:surgery*; D013524:Surgical Flaps; D014182:Transplantation, Autologous