Factors affecting anophthalmic socket reconstruction outcomes using autologous oral mucosal graft
Abstract Background Limited studies have reported surgical outcomes that are defined by strict criteria following grade 2 or 3 socket reconstruction using an oral mucosal graft (OMG). We aimed to determine factors influencing surgical outcomes of anophthalmic socket reconstruction using OMG in patie...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-024-03301-3 |
| _version_ | 1797219949874249728 |
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| author | Orapan Aryasit Yanin Panyavisitkul Parichat Damthongsuk Penny Singha Narisa Rattanalert |
| author_facet | Orapan Aryasit Yanin Panyavisitkul Parichat Damthongsuk Penny Singha Narisa Rattanalert |
| author_sort | Orapan Aryasit |
| collection | DOAJ |
| description | Abstract Background Limited studies have reported surgical outcomes that are defined by strict criteria following grade 2 or 3 socket reconstruction using an oral mucosal graft (OMG). We aimed to determine factors influencing surgical outcomes of anophthalmic socket reconstruction using OMG in patients with grade 2 or 3 socket contractures. Methods Thirty-seven patients who underwent socket reconstruction with autologous OMG between January 2007 and December 2017 were retrospectively analyzed. The successful outcome was defined as an eye prosthesis wearing without experiencing displacement and the absence of any re-operations or additional surgeries following socket reconstruction. Factors affecting surgical outcomes were identified using multivariate analysis. Results A total of 15 male and 22 female patients (mean age: 40.2 ± 17.2 years) were included. The median duration of socket contracture was 21.5 years. Grade 2 and 3 socket contractures, based on Tawfik’s classification, were reported in 20 and 17 patients, respectively. Twenty-eight and eight patients underwent socket reconstruction using OMG alone and OMG combined with a hard palate graft, respectively. The success rates of grades 2 and 3 socket contracture reconstruction were 80.0% and 52.9%, respectively. Multivariate analysis demonstrated that only grade 3 contractures were predictive of worse outcomes. At the final visit (mean follow-up: 6.3 years), 34 patients (91.9%) could wear their eye prostheses. Conclusions Socket reconstruction using autologous OMG can provide acceptable results in grade 2 and 3 contractures; however, satisfactory results were more significantly reported in grade 2 than in grade 3 contractures. |
| first_indexed | 2024-04-24T12:41:47Z |
| format | Article |
| id | doaj.art-abfcd675404545ae93b7871369718b0a |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-04-24T12:41:47Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-abfcd675404545ae93b7871369718b0a2024-04-07T11:12:10ZengBMCBMC Ophthalmology1471-24152024-04-012411610.1186/s12886-024-03301-3Factors affecting anophthalmic socket reconstruction outcomes using autologous oral mucosal graftOrapan Aryasit0Yanin Panyavisitkul1Parichat Damthongsuk2Penny Singha3Narisa Rattanalert4Department of Ophthalmology, Faculty of Medicine, Prince of Songkla UniversityDepartment of Ophthalmology, Faculty of Medicine, Prince of Songkla UniversityDepartment of Ophthalmology, Faculty of Medicine, Prince of Songkla UniversityDepartment of Ophthalmology, Faculty of Medicine, Prince of Songkla UniversityDepartment of Ophthalmology, Faculty of Medicine, Prince of Songkla UniversityAbstract Background Limited studies have reported surgical outcomes that are defined by strict criteria following grade 2 or 3 socket reconstruction using an oral mucosal graft (OMG). We aimed to determine factors influencing surgical outcomes of anophthalmic socket reconstruction using OMG in patients with grade 2 or 3 socket contractures. Methods Thirty-seven patients who underwent socket reconstruction with autologous OMG between January 2007 and December 2017 were retrospectively analyzed. The successful outcome was defined as an eye prosthesis wearing without experiencing displacement and the absence of any re-operations or additional surgeries following socket reconstruction. Factors affecting surgical outcomes were identified using multivariate analysis. Results A total of 15 male and 22 female patients (mean age: 40.2 ± 17.2 years) were included. The median duration of socket contracture was 21.5 years. Grade 2 and 3 socket contractures, based on Tawfik’s classification, were reported in 20 and 17 patients, respectively. Twenty-eight and eight patients underwent socket reconstruction using OMG alone and OMG combined with a hard palate graft, respectively. The success rates of grades 2 and 3 socket contracture reconstruction were 80.0% and 52.9%, respectively. Multivariate analysis demonstrated that only grade 3 contractures were predictive of worse outcomes. At the final visit (mean follow-up: 6.3 years), 34 patients (91.9%) could wear their eye prostheses. Conclusions Socket reconstruction using autologous OMG can provide acceptable results in grade 2 and 3 contractures; however, satisfactory results were more significantly reported in grade 2 than in grade 3 contractures.https://doi.org/10.1186/s12886-024-03301-3Anophthalmic socketSocket reconstructionOral mucosal graftProsthesis fitting |
| spellingShingle | Orapan Aryasit Yanin Panyavisitkul Parichat Damthongsuk Penny Singha Narisa Rattanalert Factors affecting anophthalmic socket reconstruction outcomes using autologous oral mucosal graft BMC Ophthalmology Anophthalmic socket Socket reconstruction Oral mucosal graft Prosthesis fitting |
| title | Factors affecting anophthalmic socket reconstruction outcomes using autologous oral mucosal graft |
| title_full | Factors affecting anophthalmic socket reconstruction outcomes using autologous oral mucosal graft |
| title_fullStr | Factors affecting anophthalmic socket reconstruction outcomes using autologous oral mucosal graft |
| title_full_unstemmed | Factors affecting anophthalmic socket reconstruction outcomes using autologous oral mucosal graft |
| title_short | Factors affecting anophthalmic socket reconstruction outcomes using autologous oral mucosal graft |
| title_sort | factors affecting anophthalmic socket reconstruction outcomes using autologous oral mucosal graft |
| topic | Anophthalmic socket Socket reconstruction Oral mucosal graft Prosthesis fitting |
| url | https://doi.org/10.1186/s12886-024-03301-3 |
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