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Remove, rotate, and reimplant: a novel technique for the management of exposed porous anophthalmic implants in eviscerated patients
Purpose To describe and to evaluate a new and relatively easy technique for porous implant exposure repair. Methods Eleven patients with exposed porous orbital implants after evisceration were included in this study. Five patients with large exposures (diameter>7 mm) and six patients with small e...
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| Published in: | Eye (London) 2014-05, Vol.28 (5), p.546-552 |
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| cites | cdi_FETCH-LOGICAL-c512t-366948f6bf1389c2f055b65d24a91ab2268873716da23c81a539af5d545ca84a3 |
| container_end_page | 552 |
| container_issue | 5 |
| container_start_page | 546 |
| container_title | Eye (London) |
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| creator | Kaynak, P Karabulut, G O Ozturker, C Perente, I Gökyiǧit, B Demirok, A Yilmaz, O F |
| description | Purpose
To describe and to evaluate a new and relatively easy technique for porous implant exposure repair.
Methods
Eleven patients with exposed porous orbital implants after evisceration were included in this study. Five patients with large exposures (diameter>7 mm) and six patients with small exposures of orbital implants (diameter |
| doi_str_mv | 10.1038/eye.2014.2 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4017112</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1523404631</sourcerecordid><originalsourceid>FETCH-LOGICAL-c512t-366948f6bf1389c2f055b65d24a91ab2268873716da23c81a539af5d545ca84a3</originalsourceid><addsrcrecordid>eNplkU-L1EAQxRtR3HH14geQBi-im7H_J_EgyOKuwoIgCt6amqQzyZJ0x-6ewT37xa0ws8uqpzrUr9_rV4-Q55ytOZPVW3fj1oJxtRYPyIqr0hRaafWQrFitWSGE-HFCnqR0zZApS_aYnAilmSxFuSK_v7op7N0ZjSFDxgm-pdEN0zyCz-8oUI_rkWbX9H74uXO0C5Hm3tEJPGzd5HymoaPu1xySa-kcYtglVAlzn3sYp6GhR7FEB0_dfkiNi2iFLOQBn6en5FEHY3LPjvOUfL_4-O38U3H15fLz-YerotFc5EIaU6uqM5uOy6puRMe03hjdCgU1h40QpqpKWXLTgpBNxUHLGjrd4jEaqBTIU_L-oDvvNpNrG_SOMNo5DhPEGxtgsH9v_NDbbdhbxXjJuUCBV0eBGPAUKdtpSTNiOoepLddCKqaM5Ii-_Ae9DrvoMd5C8VoZIxlSrw9UE0NK0XV3n-HMLt1a7NYu3drF_cX979-ht2Ui8OYAJFz5rYv3PP-X-wMzALAx</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1521946630</pqid></control><display><type>article</type><title>Remove, rotate, and reimplant: a novel technique for the management of exposed porous anophthalmic implants in eviscerated patients</title><source>PMC (PubMed Central)</source><creator>Kaynak, P ; Karabulut, G O ; Ozturker, C ; Perente, I ; Gökyiǧit, B ; Demirok, A ; Yilmaz, O F</creator><creatorcontrib>Kaynak, P ; Karabulut, G O ; Ozturker, C ; Perente, I ; Gökyiǧit, B ; Demirok, A ; Yilmaz, O F</creatorcontrib><description>Purpose
To describe and to evaluate a new and relatively easy technique for porous implant exposure repair.
Methods
Eleven patients with exposed porous orbital implants after evisceration were included in this study. Five patients with large exposures (diameter>7 mm) and six patients with small exposures of orbital implants (diameter<7 mm) that persisted despite posterior vaulting of the prosthesis and usage of antibiotics and steroids for more than 6 weeks, underwent revision surgery with the remove-rotate-reimplant technique (3R technique). Negative microbiological culture taken from the exposed socket surface before surgery was the major inclusion criterion. Five patients with insufficient conjunctival tissue also underwent additional mucosa or hard palate grafting of the defect in addition to the remove-rotate-reimplant procedure.
Results
Patients have been followed up for more than 18 months (ranging from 18–30 months). None of them received motility peg insertion after repair. Implant reexposure was detected in one patient during the follow-up period, which was managed by dermis fat grafting with implant removal.
Conclusion
The remove-rotate-reimplant technique is an effective surgical method for repairing exposed porous anophthalmic implants after evisceration with a 90% success in this study. It avoids the removal of the implant from the sclera, which is a traumatic procedure that may lead to the tearing and loss of scleral tissue covering the implant. Saving the porous implant and scleral cover reduces the surgical time and cost.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/eye.2014.2</identifier><identifier>PMID: 24503727</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/61/54/993 ; 692/699/3161 ; 692/700/565/545 ; Adult ; Anophthalmos - surgery ; Clinical Study ; Eye Evisceration ; Female ; Follow-Up Studies ; Humans ; Laboratory Medicine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Ophthalmology ; Orbital Implants ; Patient Satisfaction ; Pharmaceutical Sciences/Technology ; Prosthesis Implantation - methods ; Surgery ; Surgical Oncology</subject><ispartof>Eye (London), 2014-05, Vol.28 (5), p.546-552</ispartof><rights>Royal College of Ophthalmologists 2014</rights><rights>Copyright Nature Publishing Group May 2014</rights><rights>Copyright © 2014 Royal College of Ophthalmologists 2014 Royal College of Ophthalmologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c512t-366948f6bf1389c2f055b65d24a91ab2268873716da23c81a539af5d545ca84a3</citedby><cites>FETCH-LOGICAL-c512t-366948f6bf1389c2f055b65d24a91ab2268873716da23c81a539af5d545ca84a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017112/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017112/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24503727$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaynak, P</creatorcontrib><creatorcontrib>Karabulut, G O</creatorcontrib><creatorcontrib>Ozturker, C</creatorcontrib><creatorcontrib>Perente, I</creatorcontrib><creatorcontrib>Gökyiǧit, B</creatorcontrib><creatorcontrib>Demirok, A</creatorcontrib><creatorcontrib>Yilmaz, O F</creatorcontrib><title>Remove, rotate, and reimplant: a novel technique for the management of exposed porous anophthalmic implants in eviscerated patients</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Purpose
To describe and to evaluate a new and relatively easy technique for porous implant exposure repair.
Methods
Eleven patients with exposed porous orbital implants after evisceration were included in this study. Five patients with large exposures (diameter>7 mm) and six patients with small exposures of orbital implants (diameter<7 mm) that persisted despite posterior vaulting of the prosthesis and usage of antibiotics and steroids for more than 6 weeks, underwent revision surgery with the remove-rotate-reimplant technique (3R technique). Negative microbiological culture taken from the exposed socket surface before surgery was the major inclusion criterion. Five patients with insufficient conjunctival tissue also underwent additional mucosa or hard palate grafting of the defect in addition to the remove-rotate-reimplant procedure.
Results
Patients have been followed up for more than 18 months (ranging from 18–30 months). None of them received motility peg insertion after repair. Implant reexposure was detected in one patient during the follow-up period, which was managed by dermis fat grafting with implant removal.
Conclusion
The remove-rotate-reimplant technique is an effective surgical method for repairing exposed porous anophthalmic implants after evisceration with a 90% success in this study. It avoids the removal of the implant from the sclera, which is a traumatic procedure that may lead to the tearing and loss of scleral tissue covering the implant. Saving the porous implant and scleral cover reduces the surgical time and cost.</description><subject>631/61/54/993</subject><subject>692/699/3161</subject><subject>692/700/565/545</subject><subject>Adult</subject><subject>Anophthalmos - surgery</subject><subject>Clinical Study</subject><subject>Eye Evisceration</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laboratory Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Orbital Implants</subject><subject>Patient Satisfaction</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Prosthesis Implantation - methods</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNplkU-L1EAQxRtR3HH14geQBi-im7H_J_EgyOKuwoIgCt6amqQzyZJ0x-6ewT37xa0ws8uqpzrUr9_rV4-Q55ytOZPVW3fj1oJxtRYPyIqr0hRaafWQrFitWSGE-HFCnqR0zZApS_aYnAilmSxFuSK_v7op7N0ZjSFDxgm-pdEN0zyCz-8oUI_rkWbX9H74uXO0C5Hm3tEJPGzd5HymoaPu1xySa-kcYtglVAlzn3sYp6GhR7FEB0_dfkiNi2iFLOQBn6en5FEHY3LPjvOUfL_4-O38U3H15fLz-YerotFc5EIaU6uqM5uOy6puRMe03hjdCgU1h40QpqpKWXLTgpBNxUHLGjrd4jEaqBTIU_L-oDvvNpNrG_SOMNo5DhPEGxtgsH9v_NDbbdhbxXjJuUCBV0eBGPAUKdtpSTNiOoepLddCKqaM5Ii-_Ae9DrvoMd5C8VoZIxlSrw9UE0NK0XV3n-HMLt1a7NYu3drF_cX979-ht2Ui8OYAJFz5rYv3PP-X-wMzALAx</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Kaynak, P</creator><creator>Karabulut, G O</creator><creator>Ozturker, C</creator><creator>Perente, I</creator><creator>Gökyiǧit, B</creator><creator>Demirok, A</creator><creator>Yilmaz, O F</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140501</creationdate><title>Remove, rotate, and reimplant: a novel technique for the management of exposed porous anophthalmic implants in eviscerated patients</title><author>Kaynak, P ; Karabulut, G O ; Ozturker, C ; Perente, I ; Gökyiǧit, B ; Demirok, A ; Yilmaz, O F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-366948f6bf1389c2f055b65d24a91ab2268873716da23c81a539af5d545ca84a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>631/61/54/993</topic><topic>692/699/3161</topic><topic>692/700/565/545</topic><topic>Adult</topic><topic>Anophthalmos - surgery</topic><topic>Clinical Study</topic><topic>Eye Evisceration</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laboratory Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Ophthalmology</topic><topic>Orbital Implants</topic><topic>Patient Satisfaction</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Prosthesis Implantation - methods</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaynak, P</creatorcontrib><creatorcontrib>Karabulut, G O</creatorcontrib><creatorcontrib>Ozturker, C</creatorcontrib><creatorcontrib>Perente, I</creatorcontrib><creatorcontrib>Gökyiǧit, B</creatorcontrib><creatorcontrib>Demirok, A</creatorcontrib><creatorcontrib>Yilmaz, O F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaynak, P</au><au>Karabulut, G O</au><au>Ozturker, C</au><au>Perente, I</au><au>Gökyiǧit, B</au><au>Demirok, A</au><au>Yilmaz, O F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Remove, rotate, and reimplant: a novel technique for the management of exposed porous anophthalmic implants in eviscerated patients</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>28</volume><issue>5</issue><spage>546</spage><epage>552</epage><pages>546-552</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><abstract>Purpose
To describe and to evaluate a new and relatively easy technique for porous implant exposure repair.
Methods
Eleven patients with exposed porous orbital implants after evisceration were included in this study. Five patients with large exposures (diameter>7 mm) and six patients with small exposures of orbital implants (diameter<7 mm) that persisted despite posterior vaulting of the prosthesis and usage of antibiotics and steroids for more than 6 weeks, underwent revision surgery with the remove-rotate-reimplant technique (3R technique). Negative microbiological culture taken from the exposed socket surface before surgery was the major inclusion criterion. Five patients with insufficient conjunctival tissue also underwent additional mucosa or hard palate grafting of the defect in addition to the remove-rotate-reimplant procedure.
Results
Patients have been followed up for more than 18 months (ranging from 18–30 months). None of them received motility peg insertion after repair. Implant reexposure was detected in one patient during the follow-up period, which was managed by dermis fat grafting with implant removal.
Conclusion
The remove-rotate-reimplant technique is an effective surgical method for repairing exposed porous anophthalmic implants after evisceration with a 90% success in this study. It avoids the removal of the implant from the sclera, which is a traumatic procedure that may lead to the tearing and loss of scleral tissue covering the implant. Saving the porous implant and scleral cover reduces the surgical time and cost.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>24503727</pmid><doi>10.1038/eye.2014.2</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0950-222X |
| ispartof | Eye (London), 2014-05, Vol.28 (5), p.546-552 |
| issn | 0950-222X 1476-5454 |
| language | eng |
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| source | PMC (PubMed Central) |
| subjects | 631/61/54/993 692/699/3161 692/700/565/545 Adult Anophthalmos - surgery Clinical Study Eye Evisceration Female Follow-Up Studies Humans Laboratory Medicine Male Medicine Medicine & Public Health Middle Aged Ophthalmology Orbital Implants Patient Satisfaction Pharmaceutical Sciences/Technology Prosthesis Implantation - methods Surgery Surgical Oncology |
| title | Remove, rotate, and reimplant: a novel technique for the management of exposed porous anophthalmic implants in eviscerated patients |
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