Anterior vestibule salvaging technique to limit silicone orbital implant extrusion following evisceration

Nicholas A. Moore, Roxana Fu, Jeremy Clark, Mark Prendes, William R. Nunery, Richard A. Burgett, H. B.Harold Lee

Research output: Contribution to journalArticle

Abstract

Purpose: The anterior vestibule salvaging (‘Birdcage’) technique may limit orbital implant extrusion following evisceration. Methods: A 10-year retrospective chart review from 2005 to 2015 of individuals who underwent evisceration procedures utilizing the vestibule salvaging technique was performed. Results: A total of 96 patients (61 male; 35 female; average age 64 years; range 17–96 years) underwent evisceration with a technique avoiding anterior scleral relaxing incisions. Three (3.1%) patients had documented extrusion of the silicone implant. Time from evisceration to extrusion ranged from 26 to 372 days. Conclusions: Maintenance of the anterior scleral vestibule during evisceration may decrease extrusion rates after surgery compared with traditional evisceration techniques that utilize anterior relaxing incisions.

Original languageEnglish (US)
JournalOrbit (London)
DOIs
StateAccepted/In press - Jan 1 2018
Externally publishedYes

Fingerprint

Orbital Implants
Silicones
antineoplaston A10
Maintenance

Keywords

  • Evisceration
  • extrusion
  • silicone implant
  • surgical technique

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Anterior vestibule salvaging technique to limit silicone orbital implant extrusion following evisceration. / Moore, Nicholas A.; Fu, Roxana; Clark, Jeremy; Prendes, Mark; Nunery, William R.; Burgett, Richard A.; Lee, H. B.Harold.

In: Orbit (London), 01.01.2018.

Research output: Contribution to journalArticle

Moore, Nicholas A. ; Fu, Roxana ; Clark, Jeremy ; Prendes, Mark ; Nunery, William R. ; Burgett, Richard A. ; Lee, H. B.Harold. / Anterior vestibule salvaging technique to limit silicone orbital implant extrusion following evisceration. In: Orbit (London). 2018.
@article{a5fc6001513648f895e77a5f0f71a5f3,
title = "Anterior vestibule salvaging technique to limit silicone orbital implant extrusion following evisceration",
abstract = "Purpose: The anterior vestibule salvaging (‘Birdcage’) technique may limit orbital implant extrusion following evisceration. Methods: A 10-year retrospective chart review from 2005 to 2015 of individuals who underwent evisceration procedures utilizing the vestibule salvaging technique was performed. Results: A total of 96 patients (61 male; 35 female; average age 64 years; range 17–96 years) underwent evisceration with a technique avoiding anterior scleral relaxing incisions. Three (3.1{\%}) patients had documented extrusion of the silicone implant. Time from evisceration to extrusion ranged from 26 to 372 days. Conclusions: Maintenance of the anterior scleral vestibule during evisceration may decrease extrusion rates after surgery compared with traditional evisceration techniques that utilize anterior relaxing incisions.",
keywords = "Evisceration, extrusion, silicone implant, surgical technique",
author = "Moore, {Nicholas A.} and Roxana Fu and Jeremy Clark and Mark Prendes and Nunery, {William R.} and Burgett, {Richard A.} and Lee, {H. B.Harold}",
year = "2018",
month = "1",
day = "1",
doi = "10.1080/01676830.2018.1537288",
language = "English (US)",
journal = "Orbit",
issn = "0167-6830",
publisher = "Informa Healthcare",

}

TY - JOUR

T1 - Anterior vestibule salvaging technique to limit silicone orbital implant extrusion following evisceration

AU - Moore, Nicholas A.

AU - Fu, Roxana

AU - Clark, Jeremy

AU - Prendes, Mark

AU - Nunery, William R.

AU - Burgett, Richard A.

AU - Lee, H. B.Harold

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Purpose: The anterior vestibule salvaging (‘Birdcage’) technique may limit orbital implant extrusion following evisceration. Methods: A 10-year retrospective chart review from 2005 to 2015 of individuals who underwent evisceration procedures utilizing the vestibule salvaging technique was performed. Results: A total of 96 patients (61 male; 35 female; average age 64 years; range 17–96 years) underwent evisceration with a technique avoiding anterior scleral relaxing incisions. Three (3.1%) patients had documented extrusion of the silicone implant. Time from evisceration to extrusion ranged from 26 to 372 days. Conclusions: Maintenance of the anterior scleral vestibule during evisceration may decrease extrusion rates after surgery compared with traditional evisceration techniques that utilize anterior relaxing incisions.

AB - Purpose: The anterior vestibule salvaging (‘Birdcage’) technique may limit orbital implant extrusion following evisceration. Methods: A 10-year retrospective chart review from 2005 to 2015 of individuals who underwent evisceration procedures utilizing the vestibule salvaging technique was performed. Results: A total of 96 patients (61 male; 35 female; average age 64 years; range 17–96 years) underwent evisceration with a technique avoiding anterior scleral relaxing incisions. Three (3.1%) patients had documented extrusion of the silicone implant. Time from evisceration to extrusion ranged from 26 to 372 days. Conclusions: Maintenance of the anterior scleral vestibule during evisceration may decrease extrusion rates after surgery compared with traditional evisceration techniques that utilize anterior relaxing incisions.

KW - Evisceration

KW - extrusion

KW - silicone implant

KW - surgical technique

UR - http://www.scopus.com/inward/record.url?scp=85056112040&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85056112040&partnerID=8YFLogxK

U2 - 10.1080/01676830.2018.1537288

DO - 10.1080/01676830.2018.1537288

M3 - Article

C2 - 30388918

AN - SCOPUS:85056112040

JO - Orbit

JF - Orbit

SN - 0167-6830

ER -