Socket restoration by simple incision

Öz

Objectives: To ensure reconstruction of contracted eye socket with the use of simple incision and appropriate conformer. Materials and Methods: A total 54 cases who applied between 1991-2006 years, due to the complaint of not fitting the prosthesis were enrolled. Results: The mean follow up time was 72.8 (6-119) months. After simple incision 28 patients was able to fit their prosthesis after first operation. This incision was re­peated two times in 7 patients and three times in 2 pa­tients. We were unable to follow 7 patients with simple incision. In 37 out of 47 patients the results were found to be successful, in 12 patients other methods were used. Conclusion: In anophthalmic socket and postenucle­ation socket syndrome, simple incision can be taken into consideration before deciding for an enhancement opera­tion.

Anahtar Kelimeler

• Contracted ocular socket, socket reconstruc­tion, mucosal graft, dermis-fat graft.

Basit insizyonla soket restorasyonu

Öz

Amaç: Basit insizyon ve uygun yer tutucu kullanarak so­ket restorasyonun sağlanması. Gereç ve Yöntem: 1991 ve 2006 yılları arasında prote­zini takamamak şikayeti ile başvuran 54 hasta çalışma kapsamına alındı. Bulgular: Hastaların ortalama takip süresi 72.8 ( 6-119) ay idi. Toplam 28 hasta ilk operasyondan sonra protezini rahatça takabilir hale geldi. İşlem 7 hastada iki, 2 hastada üç kez tekrarlandı. Yedi hasta ise takipten ayrıldı. Toplam olarak 47 hastanın 35\'inde ameliyat başarılı oldu, 12 has­tada diğer yöntemlere başvuruldu. Sonuç: Anoftalmik soket ve postenükleasyon soket send­romunda dar soketin tedavisinde kapsamlı operasyonlar­dan önce basit insizyon hatırda tutulmalıdır.

Anahtar Kelimeler

• Dar soket, soket restorasyonu, mu­kozal greft, dermis-yağ greft.

Kaynakça

1. Ünal M. Anoftalmik soketin değerlendirilmesi ve rekonstrük- siyonu. In: Okulpolasti, 1. baskı. Türk Oftalmoloji Derneği Eğitim Yayınları 2003;1:403-18.
2. Callahan A. Contracted and deformed sockets. In Soll DB, ed. Management of complications in Ophthalmic Plastic Surgery, 1st edn. Birmingham, AL: Aesculapius Publishing Co, 1976;345-58.
3. Mustarde JC. Repair and Reconstruction in the Orbital Regi- on, 2nd edn. New York: Churchill Livingstone, 1980;215- 44.
4. Putterman AM. Reconstruction of the contracted ocular soc- ket. Aust N Z Ophthalmol 1985;13:171-178.
5. Smith B, Bosniak S, Nesi F, Lisman R. Dermis-fat orbital implantation: 118 cases. Ophthalmic Surg 1983;14:941- 943.
6. Betharia SM, Patil ND. Dermis fat grafting in contracted soc- ket. Indian J Ophthalmol 1988;36:110-112.
7. Putterman AM, Karesh JW. A surgical technique for the suc- cessful and stable reconstruction of the totally contracted ocular socket. Ophthalmic Surg 1988;19:193-201.
8. Lee AC, Fedorovich I, Heinz GW, Kikkawa DO. Soc- ket reconstruction with combined mucous membrane and hard palate mucosal grafts. Ophthalmic Surg Lasers 2002;33:463-468.

9. Neuhaus RW, Baylis HI, Shorr N. Complications at mucous membrane donor sites. Am J Ophthalmol 1982;93:643- 646.
10. Dortzbach RK, Callahan A. Advances in socket reconstruc- tion. Am J Ophthalmol 1970;70:800-813.
11. Millard R. Eyelid repair with a chondromucosal graft. Plast Reconstr Surg. 1962;30:267-71.
12. Shore JW, McCord CD, Bergin DJ, Dittmar SJ, Maiorca JP, Burks WR. Management of complications following dermis-fat grafting for anophthalmic socket reconstruction. Ophthalmology 1985;92:1342-1350.