title: Pericranium grafts for exposed orbital implants: An observational case-series study.
abstract: OBJECTIVE
  The aim of this article is to highlight our experience with autologous pericranium graft in wide exposures (≥3 mm). The pericranium graft was taken from the parietal region of the scalp in six consecutive clinical cases of orbital implant exposure in anophthalmic sockets.
  
  
  METHODS
  This is a prospective, descriptive case series study of patients who had orbital implant exposures and were treated with autologous pericranium graft.
  
  
  RESULTS
  The average postoperative follow-up period was 10 months, and the mean time for conjunctivalization of the graft was 3 months. In all cases, complete conjunctivalization was achieved, and no re-exposure of the implant was observed.
  
  
  CONCLUSIONS
  The pericranium graft from the parietal region is an effective technique to treat both small and large orbital implant exposures with no comorbidity. Time to complete conjunctivalization is similar to that of other autologous grafts. It is a simple and convenient method for the oculoplastic surgeon that constitutes a good alternative for covering anophthalmic cavities. Further studies with more cases and longer follow-up are required to confirm the effectiveness of this technique.
authors.affiliation: Department of Orbital and Ophthalmic Plastic Surgery (Dr. I. Jürgens-Mestre), Institut Català de Retina, Carrer de Ganduxer 117, 08022, Barcelona, Spain.
authors.forename: Nuria
authors.initials: N
authors.lastname: Ibáñez-Flores
authors.affiliation: Department of Ophthalmology (Dr. J.M. Caminal-Mitjana), Bellvitge University Hospital, Feixa Llarga, s/n, 08907, L'Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: Maravillas
authors.initials: M
authors.lastname: Abia-Serrano
authors.affiliation: Department of Orbital and Ophthalmic Plastic Surgery (Dr. I. Jürgens-Mestre), Institut Català de Retina, Carrer de Ganduxer 117, 08022, Barcelona, Spain.
authors.forename: Irene
authors.initials: I
authors.lastname: Aznar-Peña
authors.affiliation: Department of Ophthalmology (Dr. J.M. Caminal-Mitjana), Bellvitge University Hospital, Feixa Llarga, s/n, 08907, L'Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: Ferran
authors.initials: F
authors.lastname: Mascaró-Zamora
authors.affiliation: Department of Ophthalmology (Dr. J. García-Feijó), Hospital Clínico San Carlos, Profesor Martín Lagos, 28001, Madrid, Spain.
authors.forename: Johnny
authors.initials: J
authors.lastname: Castellar-Cerpa
authors.affiliation: Department of Orbital and Ophthalmic Plastic Surgery (Dr. I. Jürgens-Mestre), Institut Català de Retina, Carrer de Ganduxer 117, 08022, Barcelona, Spain. Electronic address: robertoanayaalaminos@hotmail.com.
authors.forename: Roberto
authors.initials: R
authors.lastname: Anaya-Alaminos
authors.affiliation: Department of Orbital and Ophthalmic Plastic Surgery (Dr. I. Jürgens-Mestre), Institut Català de Retina, Carrer de Ganduxer 117, 08022, Barcelona, Spain.
authors.forename: Sebastián
authors.initials: S
authors.lastname: Prieto-Briceño
authors.affiliation: Saint John's Eye Hospital (Prof. G. Mclaren), University of the Witwatersrand, Chris Hani Road, Soweto, 2013, Johannesburg, South Africa.
authors.forename: Akiel
authors.initials: A
authors.lastname: Asvat
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000853:Anophthalmos / Q000601:surgery; D064592:Autografts / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D020273:Orbital Implants; D010294:Parietal Bone / Q000601:surgery; D010521:Periosteum / Q000637:transplantation*; D011446:Prospective Studies; D013529:Surgical Wound Dehiscence / Q000601:surgery*; D060053:Transplant Donor Site / Q000601:surgery
keywords: Anophthalmic cavities; Autologous pericranium graft; Orbital implant exposure