The reconstruction of a contracted eye socket using a post-auricular full-thickness skin graft
Journal
Graefe's Archive for Clinical and Experimental Ophthalmology
Journal Volume
252
Journal Issue
5
Pages
821-827
Date Issued
2014
Author(s)
Abstract
Purpose: To report the efficacy of a full-thickness skin graft (FTSG) for the reconstruction of a contracted eye socket. Design: A retrospective, non-comparative, interventional case series. Methods: This was a retrospective review of patients with a contracted eye socket who underwent socket reconstruction using a post-auricular FTSG from 2001 to 2011 at the National Taiwan University Hospital. The postoperative results including prosthetic fitting, the cosmetic result, and eyelid function were assessed. Results: There were 11 male and 15 female patients, with a mean age of 52.3±15.6 years (range 21 to 76). The duration of the socket contracture varied from three months to three years (average 7.4±8.1 months). The severity of the socket contracture ranged from grade 2 to grade 4, based on Tawfik's classification. The mean follow-up time was 35.7±9.6 months. After socket reconstruction, using a post-auricular FTSG, 96 % of the cases (25 of 26) demonstrated a successful prosthetic fitting and a satisfactory cosmetic outcome. Both good eyelid function and a stable fornix depth were maintained during the follow-up time. One case received a second socket reconstruction three months after the first operation, using a FTSG, because of an inadequate lateral fornix. The final result was satisfactory. There were no serious complications, but a granuloma formed in one case, and there was prolonged discharge in one case. Conclusions: The reconstruction of a contracted eye socket using a post-auricular FTSG is an effective method with a high success rate, which causes less discomfort to donor sites and results in few complications. ? 2014 Springer-Verlag.
Subjects
Full-thickness skin graft; Prosthesis; Socket contracture; Socket reconstruction
SDGs
Other Subjects
adult; aged; article; clinical article; clinical effectiveness; disease severity; esthetic surgery; eye discharge; eye socket contracture; eyelid; female; follow up; full thickness skin graft; granuloma; human; male; middle aged; orbit disease; orbit reconstruction; patient satisfaction; priority journal; prosthesis; Taiwan; young adult; Adult; Aged; Contracture; Ear; Eye Enucleation; Eye, Artificial; Female; Humans; Intervention Studies; Male; Middle Aged; Orbital Diseases; Orbital Implants; Reconstructive Surgical Procedures; Retrospective Studies; Skin Transplantation; Suture Techniques; Sutures; Treatment Outcome; Young Adult
Publisher
Springer Verlag
Type
journal article