Abstract
Purpose: To investigate the risks of implant exposure after a combined explant-implant procedure in patients with an exposed porous orbital implant. Methods: Twenty-four consecutive patients who had a combined explant-implant procedure of an exposed hydroxyapatite (21) or porous polyethylene (3) orbital implant from January 2000 to February 2009 were included. The patient records were reviewed; patients were interviewed by telephone and invited for a clinical examination. Histopathological examination was carried out on the removed implants. Main outcome measures were: presence of exposure of the new implant or not, patient graded satisfaction with the cosmetic result, and presence of poor motility. Results: None of the new implants became exposed or infected in the follow-up period of 25 [3-94] months (median [range]). The patients scored their satisfaction with the cosmetic result to a median score of 9 (range 5-10). Poor motility was present in six of 17 patients. Micro-organisms were identified in three removed implants and signs of inflammation were present in 20 removed implants. Conclusions: If a decision of implant removal has been made, it is safe to replace the implant at the same procedure in sockets without profound signs of infection. The procedure carries a possible risk of poor motility.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Acta Ophthalmologica (Online) |
| Vol/bind | 90 |
| Udgave nummer | 3 |
| Sider (fra-til) | 210-4 |
| Antal sider | 5 |
| ISSN | 1755-3768 |
| DOI | |
| Status | Udgivet - maj 2012 |