Tarsal patch-flap for orbital implant exposure

Charles N. Soparkar, James R. Patrinely

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

The authors determine the efficacy of a new technique, the tarsal patch- flap, in the management of postenucleation and postevisceration porous orbital implant exposures that are recalcitrant to other surgical approaches. All patients treated during a 30-month period with recurrent orbital implant exposures who failed at least one surgical attempt at defect closure were treated using a tarsal patch-flap, a fornix-based tarsoconjunctival flap from the upper eyelid. Eight patients, six after enucleation and two after evisceration, were treated with a tarsal patch-flap. Five implants were porous polyethylene and three were hydroxyapatite. The defect size ranged from 4 mm to 12 mm (largest dimension). All eight patients have maintained closure of their defects for a mean follow-up of 13.8 months (range, 4-30 months). The vascularized tarsal patch-flap provides an excellent alternative surgical approach to the management of recurrent orbital implant exposures recalcitrant to Tenon-conjunctival advancement and autologous fascia grafting.

Original languageEnglish (US)
Pages (from-to)391-397
Number of pages7
JournalOphthalmic Plastic and Reconstructive Surgery
Volume14
Issue number6
DOIs
StatePublished - Jan 1 1998

Keywords

  • Exposure
  • Hydroxyapatite
  • Implant
  • Patch-flap
  • Polyethylene
  • Porous

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

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