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Surgical Outcomes of Porcine Acellular Dermis Graft in Anophthalmic Socket: Comparison with Oral Mucosa Graft.

Abstract We describe our experience with the Permacol graft in anophthalmic socket reconstruction, and compare it to the autologous buccal mucosal graft, emphasizing the postoperative vascularization and contraction of each graft.
PMID
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Authors

Mayor MeshTerms

Acellular Dermis

Keywords

Acellular dermis

Anophthalmos

Mouth mucosa

Journal Title korean journal of ophthalmology : kjo
Publication Year Start


 


PMID- 28243018
OWN - NLM
STAT- MEDLINE
DA  - 20170228
DCOM- 20170314
LR  - 20170314
IS  - 2092-9382 (Electronic)
IS  - 1011-8942 (Linking)
VI  - 31
IP  - 1
DP  - 2017 Feb
TI  - Surgical Outcomes of Porcine Acellular Dermis Graft in Anophthalmic Socket:
      Comparison with Oral Mucosa Graft.
PG  - 9-15
LID - 10.3341/kjo.2017.31.1.9 [doi]
AB  - PURPOSE: We describe our experience with the Permacol graft in anophthalmic
      socket reconstruction, and compare it to the autologous buccal mucosal graft,
      emphasizing the postoperative vascularization and contraction of each graft.
      METHODS: This was a retrospective comparative study. We measured the time
      necessary for the graft surface to be completely vascularized, as well as the
      fornix depth of the conjunctival sac in anophthalmic patients. RESULTS: Ten
      patients underwent Permacol graft reconstruction, with 44 undergoing buccal
      mucosal graft reconstruction. Seven eyelids (70%) in the Permacol group had a
      good outcome, with improvement in lower eyelid position and prosthesis retention.
      Nine out of 10 eyelids (90%) in this group showed complete vascularization of the
      graft at 2.6 +/- 1.9 months postoperatively, while the grafted buccal mucosa was 
      fully vascularized at 1.1 +/- 0.3 months postoperatively (p < 0.01).
      Postoperative fornix depth in the Permacol group was 9.1 +/- 2.2 mm, compared to 
      14.9 +/- 4.5 mm in the buccal mucosal graft group (p < 0.01). Mean increases in
      fornix depth were 33.1% and 67.9% of the mean vertical length of the implanted
      graft. CONCLUSIONS: The Permacol graft can be useful as spacer graft material in 
      anophthalmic socket patients. It takes longer to vascularize, and undergoes
      greater graft shrinkage with time, compared to the buccal mucosal graft.
FAU - Teo, Livia
AU  - Teo L
AD  - Institute of Vision Research, Department of Ophthalmology, Severance Hospital,
      Yonsei University College of Medicine, Seoul, Korea.; Singapore National Eye
      Centre, Singapore, Singapore.
FAU - Woo, Young Jun
AU  - Woo YJ
AD  - Institute of Vision Research, Department of Ophthalmology, Severance Hospital,
      Yonsei University College of Medicine, Seoul, Korea.
FAU - Kim, Dong Kyu
AU  - Kim DK
AD  - Yonsei University College of Medicine, Seoul, Korea.
FAU - Kim, Chang Yeom
AU  - Kim CY
AD  - Institute of Vision Research, Department of Ophthalmology, Severance Hospital,
      Yonsei University College of Medicine, Seoul, Korea.
FAU - Yoon, Jin Sook
AU  - Yoon JS
AD  - Institute of Vision Research, Department of Ophthalmology, Severance Hospital,
      Yonsei University College of Medicine, Seoul, Korea.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20170202
PL  - Korea (South)
TA  - Korean J Ophthalmol
JT  - Korean journal of ophthalmology : KJO
JID - 8804513
SB  - IM
MH  - *Acellular Dermis
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Animals
MH  - Anophthalmos/*surgery
MH  - Child
MH  - Eyelids/*surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mouth Mucosa/*transplantation
MH  - Reconstructive Surgical Procedures/*methods
MH  - Retrospective Studies
MH  - Skin Transplantation/*methods
MH  - Swine
MH  - Young Adult
PMC - PMC5327181
OTO - NOTNLM
OT  - *Acellular dermis
OT  - *Anophthalmos
OT  - *Mouth mucosa
COI - Conflict of Interest: No potential conflict of interest relevant to this article 
      was reported.
EDAT- 2017/03/01 06:00
MHDA- 2017/03/16 06:00
CRDT- 2017/03/01 06:00
PHST- 2015/10/05 [received]
PHST- 2015/12/01 [accepted]
AID - 10.3341/kjo.2017.31.1.9 [doi]
PST - ppublish
SO  - Korean J Ophthalmol. 2017 Feb;31(1):9-15. doi: 10.3341/kjo.2017.31.1.9. Epub 2017
      Feb 2.

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