One-stage explant-implant procedure of exposed porous orbital implants.
OBJECTIVE
To investigate the risks of implant exposure after a combined explant-implant procedure in patients with an exposed porous orbital implant.


METHODS
Twenty-four consecutive patients who had a combined explant-implant procedure of an exposed hydroxyapatite (21) or porous polyethylene (3) orbital implant from January 2000 to February 2009 were included. The patient records were reviewed; patients were interviewed by telephone and invited for a clinical examination. Histopathological examination was carried out on the removed implants. Main outcome measures were: presence of exposure of the new implant or not, patient graded satisfaction with the cosmetic result, and presence of poor motility.


RESULTS
None of the new implants became exposed or infected in the follow-up period of 25 [3-94] months (median [range]). The patients scored their satisfaction with the cosmetic result to a median score of 9 (range 5-10). Poor motility was present in six of 17 patients. Micro-organisms were identified in three removed implants and signs of inflammation were present in 20 removed implants.


CONCLUSIONS
If a decision of implant removal has been made, it is safe to replace the implant at the same procedure in sockets without profound signs of infection. The procedure carries a possible risk of poor motility.
Eye Clinic, Faculty of Health Sciences, University of Copenhagen, Rigshospitalet, Copenhagen, Denmark. pbtoft@dadlnet.dk
Peter B
PB
Toft
Marie L Roed
ML
Rasmussen
Jan U
JU
Prause
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001672:Biocompatible Materials; D017886:Durapatite; D015353:Eye Enucleation; D017234:Eye Evisceration; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D009915:Orbit / Q000601:surgery*; D020273:Orbital Implants; D017060:Patient Satisfaction; D011095:Polyethylenes; D011183:Postoperative Complications; D019919:Prosthesis Implantation; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D013529:Surgical Wound Dehiscence / Q000601:surgery*; D055815:Young Adult
D001672:Biocompatible Materials; C084562:Medpor; D011095:Polyethylenes; D017886:Durapatite