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  • Title: Repair of exposed hydroxyapatite orbital implant by a tarsoconjunctival pedicle flap.
    Author: Martin P, Ghabrial R.
    Journal: Ophthalmology; 1998 Sep; 105(9):1694-7. PubMed ID: 9754179.
    Abstract:
    OBJECTIVE: This study aimed to determine a surgical method of management of exposed hydroxyapatite orbital implants. DESIGN: Noncomparative small case series. PARTICIPANTS: Four patients with exposures of hydroxyapatite orbital implants are described. INTERVENTION: A superiorly based tarsoconjunctival pedicle flap is fashioned from the upper eyelid; this flap is inverted and placed over the scleral-covered, exposed hydroxyapatite orbital implant. The flap is divided as a second-stage procedure 4 weeks later. MAIN OUTCOME MEASURE: Mucosal coverage of the previously exposed orbital implant was measured. RESULTS: Four cases are presented with excellent postoperative results at 3 to 18 months' follow-up. CONCLUSION: A suitably fashioned pedicle flap from the upper eyelid is an effective method of managing exposed hydroxyapatite orbital implants.
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