title: Prosthetic Rehabilitation Following Socket Reconstruction with Blair-Brown Graft and Conformer Therapy for Management of Severe Post-Enucleation Socket Syndrome--A Clinical Report.
abstract: One of the most common tumors of the eye diagnosed in childhood is retinoblastoma, which mandates enucleation with adjunctive chemotherapy and radiotherapy to save the patient's life. The most common late enucleation complication is post-enucleation socket syndrome (PESS), which poses a management dilemma for the prosthodontist and surgeon, along with being a major esthetic concern for the patient. The reconstruction of such sockets is complex. The purpose of this clinical report is to describe the rehabilitation of such a pediatric patient with severe PESS. The patient was successfully rehabilitated by presurgical conformer therapy, socket reconstruction surgery with non-meshed intermediate split thickness skin graft (STSG)/Blair-Brown graft, and postsurgical conformer stent. This was followed by fabrication of a custom ocular prosthesis, to achieve favorable functional, physical, and psychological effects.
authors.affiliation: Senior Resident, Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University UP, Lucknow, India.
authors.forename: Himanshi
authors.initials: H
authors.lastname: Aggarwal
authors.affiliation: Associate Professor, Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University UP, Lucknow, India.
authors.forename: Saumyendra V
authors.initials: SV
authors.lastname: Singh
authors.affiliation: Senior Resident, Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University UP, Lucknow, India.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Kumar
authors.affiliation: Professor and Head, Department of Plastic Surgery, King George's Medical University UP, Lucknow, India.
authors.forename: Arun
authors.initials: A
authors.lastname: Kumar Singh
mesh_terms: D002648:Child; D003286:Contracture / Q000209:etiology / Q000601:surgery; D015353:Eye Enucleation / Q000009:adverse effects*; D005137:Eye, Artificial; D006801:Humans; D009915:Orbit / Q000601:surgery; D020273:Orbital Implants; D019651:Plastic Surgery Procedures
keywords: Anophthalmic socket reconstruction; enucleation; ocular prosthesis; post-enucleation socket syndrome; skin graft; socket contracture