Bioceramic orbital implant exposure repaired by a retroauricular myoperiosteal graft.
A patient with a painful, blind eye underwent enucleation and bioceramic orbital implantation. The bio-ceramic implant was wrapped with polyglactin 910 mesh and anteriorly capped with a scleral patch graft. Because there was tension on the wound, a relaxing conjunctival incision on the fornix was performed. Implant exposure with a diameter of 9 mm occurred 4 months after surgery. The exposed bioceramic implant was successfully repaired by a retroauricular myoperiosteal graft. The graft contains myofibrovascularized tissue, provides durable and vascularized coverage of exposed implants, and only requires a nearby harvesting site. The exposure completely resolved without recurrence after 2 years of follow-up.
Wang
Jia-Kang
JK
Department of Ophthalmology, Far Eastern Memorial Hospital, Taipei, Taiwan.
Lai
Pei-Ching
PC
D000368:Aged; D000537:Aluminum Oxide; D001672:Biocompatible Materials; D002516:Ceramics; D054644:Ear Auricle; D015353:Eye Enucleation; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000637:transplantation*; D020273:Orbital Implants; D010521:Periosteum; D011183:Postoperative Complications; D013536:Suture Techniques
D001672:Biocompatible Materials; D000537:Aluminum Oxide