The dermisfat graft has been used as an orbital implant in primary enucleation, secondary implants, and tissue augmentation in a contracted. If the tissues around the globe are envisaged as an investiture that arises from the posterior orbit. This narrated video demonstrates the harvesting of a dermis fat graft from the abdomen. Download scientific diagram socket reconstruction with dermis fat graft dfg. Full text indications and results in anophthalmic socket. Implantation of a dermis fat graft is an established mode of anophthalmic orbit reconstruction, and it has been commonly used to treat large orbital implant exposure as a 1stage or 2stage technique. Autologous dermis graft at the time of evisceration or enucleation. The autogenous dermisfat graft dfg orbital implant, composed of dermis and. Dermis fat grafts as primary and secondary orbital implants. A decision to do gluteal harvested dermis fat graft was made. It should be very difficult to get all of the fat into the socket.
A dermis fat graft dfg is a versatile procedure applicable to a number of conditions in oculofacial plastic surgery, including orbital volume augmentation. This code includes harvest and placement of the graft. The dermisfat graft is then inserted into the orbital socket cavity with the dermis layer anteriorly and the fatty side posteriorly oriented. Autogenous dermisfat orbital implantation jama ophthalmology. Singlestage orbital socket reconstruction using the oversized. The extraocular muscles and conjunctiva are sutured into the border of the dermisfat graft using 60 vicryl sutures for the former and 50 interrupted vicryl sutures for the latter.
Macrocystic enlargement of orbital dermisfat grafts. Code 20926, tissue grafts, other eg, paratenon, fat, dermis, is the only code needed to report the autologous fat grafting procedure. Dermisfat grafts as orbital implants have been advocated for both primary and secondary socket. Treatment of lower eyelid malposition with dermis fat grafting.
Autologous dermis graft at the time of evisceration or. Management of complications following dermisfat grafting for. Dermal fat grafting has been used for over a hundred years mcnichols et. They originally used the autologous dermisfat grafts to replace an extruded. This video shows the procedure for anophthalmic socket reconstruction by using dermis fat graft with fornix formation sutures. Autogenous dermisfat orbital impant for anophthalmic socket ncbi. Dermis fat graft has been proved to be an effective method for orbital reconstruction after enucleation and evisceration, as either primary or. This video demonstrates harvesting of a dermis fat graft. Your surgeon may overcome this problem by using a dermis fat graft.
We consider dermisfat graft a procedure of choice in cases of extruded or migrated implants. This study was performed to evaluate the outcome after autologous dermis fat graft dfg orbital implants in a large sample. This patient has a history of a chronically exposed orbital implant that has failed previous attempts at repair. Dermis fat is taken from the patients own tissue from regions such as the groin, navel or the buttocks. Dermal fat graft reconstruction of facial defects iowa. It can be used as an alternative orbital implant to alloplastic implants. Plateletrich plasma to rescue an ulcerated orbital dermal fat graft. The remaining 19% underwent graft resorption to a varying degree. Dermis is an ideally suited matrix for conjunctivalisation and has been used in combination with fat in dermis fat grafts for orbital implants or for repair of.
Orbital ball implant exposure dermis patch graft oculoplastic. Hollow appearance in a 74yearold woman 12 weeks after exenteration and dermis fat graft reconstruction for sebaceous adenocarcinoma of the left medial canthus. Pdf indications and results in anophthalmic socket reconstruction. A dermis fat implant dermofat graft, dfg is an autologous transplant consisting of deepithelialized epidermis with its adjacent. A 15 blade is then used to make an incision along the marking though the epidermis. The extraocular muscles and conjunctiva were sutured into the border of the dermisfat graft using 60 vicryl sutures for the former and 50 interrupted vicryl sutures for the latter figure. In this case, i do not believe that the fat graft is large enough because it is too easy to get the fat into the socket. Therefore, the orbital implant will be removed followed by placement of a dermis fat graft. A dermis fat graft is an alternative treatment option, if an. Dermis fat graft for pediatric exenterationchallenging but rewarding. Dermis fat graft procedure for contracted socket youtube.
The dermisfat graft has been used as an orbital implant in primary enucleation. The conjunctival edges are then sutured to the edge. A circle approximately 20 mm in diameter is placed in the area of the buttocks usually in the area of the bikini line. Pdf download for plateletrich plasma to rescue an ulcerated orbital. Anophthalmos, eye enucleation, orbital implants, case report, oman. Pdf to present the indications for a dermisfat graft in anophthalmic socket reconstruction and evaluate the results of this procedure. We would like to present a surgical technique of orbital socket reconstruction using oversized dermis fat graft and 22 mm silicone orbital implant. Autogenous dermisfat orbital impant for anophthalmic socket. Dermis fat graft oculoplastic eyelid orbit surgery. Dermisfat graft has been proven as a useful replacement tissue for eyelid and orbit reconstruction, but there is no evidence in the literature that it can be used for correction of upper eyelid. The dermisfat graft was then inserted into the orbital socket cavity with the dermis layer anteriorly and the fatty side posteriorly oriented figure 3a. Dermis fat graft dfg for orbital volume augmentation.