Long-Term Results of Autologous Auricular Cartilage Graft Applied in Anophthalmic Orbits Unable to Wear Prosthesis

In anophthalmic patients, shallow lower fornices make wearing ocular prostheses impossible and maintaining normal social activities difficult. This study retrospectively investigated the long-term surgical outcomes of autologous auricular cartilage grafting for contracted orbits. From 1995 to 2013,...

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Main Authors: Yi-Lin Liao, Shu-Ya Wu, Yueh-Ju Tsai
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2019/7197063
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author Yi-Lin Liao
Shu-Ya Wu
Yueh-Ju Tsai
author_facet Yi-Lin Liao
Shu-Ya Wu
Yueh-Ju Tsai
author_sort Yi-Lin Liao
collection DOAJ
description In anophthalmic patients, shallow lower fornices make wearing ocular prostheses impossible and maintaining normal social activities difficult. This study retrospectively investigated the long-term surgical outcomes of autologous auricular cartilage grafting for contracted orbits. From 1995 to 2013, 29 anophthalmic contracture sockets with inadequate lower fornices and poor prosthesis retention presented to Chang Gung Memorial Hospital in Linkou, Taiwan, were treated using this surgical method. The success rate, aesthetic outcome, recurrence, and complications were analyzed. Among the 29 patients, 15 were women, 14 were men, their mean age was 45 years, and the mean follow-up time was 52 months (range = 6–159 months). Satisfactory lid position was achieved in 25 cases (86%), and lower fornix retraction recurred in four cases (14%). Neither donor site morbidity nor auricular deformity was noted during the follow-up period. Therefore, an auricular cartilage graft can be used successfully as a compatible spacer for anophthalmic patients with shallow lower fornices and prosthesis-fitting problems in long-term follow-up.
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spelling doaj-art-33c1cd6dcd6b45f2862dbbc41213e7ce2025-02-03T06:11:33ZengWileyJournal of Ophthalmology2090-004X2090-00582019-01-01201910.1155/2019/71970637197063Long-Term Results of Autologous Auricular Cartilage Graft Applied in Anophthalmic Orbits Unable to Wear ProsthesisYi-Lin Liao0Shu-Ya Wu1Yueh-Ju Tsai2Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou, TaiwanDepartment of Ophthalmology, Taipei Tzu Chi Hospital, New Taipei City, TaiwanDepartment of Ophthalmology, Chang Gung Memorial Hospital, Linkou, TaiwanIn anophthalmic patients, shallow lower fornices make wearing ocular prostheses impossible and maintaining normal social activities difficult. This study retrospectively investigated the long-term surgical outcomes of autologous auricular cartilage grafting for contracted orbits. From 1995 to 2013, 29 anophthalmic contracture sockets with inadequate lower fornices and poor prosthesis retention presented to Chang Gung Memorial Hospital in Linkou, Taiwan, were treated using this surgical method. The success rate, aesthetic outcome, recurrence, and complications were analyzed. Among the 29 patients, 15 were women, 14 were men, their mean age was 45 years, and the mean follow-up time was 52 months (range = 6–159 months). Satisfactory lid position was achieved in 25 cases (86%), and lower fornix retraction recurred in four cases (14%). Neither donor site morbidity nor auricular deformity was noted during the follow-up period. Therefore, an auricular cartilage graft can be used successfully as a compatible spacer for anophthalmic patients with shallow lower fornices and prosthesis-fitting problems in long-term follow-up.http://dx.doi.org/10.1155/2019/7197063
spellingShingle Yi-Lin Liao
Shu-Ya Wu
Yueh-Ju Tsai
Long-Term Results of Autologous Auricular Cartilage Graft Applied in Anophthalmic Orbits Unable to Wear Prosthesis
Journal of Ophthalmology
title Long-Term Results of Autologous Auricular Cartilage Graft Applied in Anophthalmic Orbits Unable to Wear Prosthesis
title_full Long-Term Results of Autologous Auricular Cartilage Graft Applied in Anophthalmic Orbits Unable to Wear Prosthesis
title_fullStr Long-Term Results of Autologous Auricular Cartilage Graft Applied in Anophthalmic Orbits Unable to Wear Prosthesis
title_full_unstemmed Long-Term Results of Autologous Auricular Cartilage Graft Applied in Anophthalmic Orbits Unable to Wear Prosthesis
title_short Long-Term Results of Autologous Auricular Cartilage Graft Applied in Anophthalmic Orbits Unable to Wear Prosthesis
title_sort long term results of autologous auricular cartilage graft applied in anophthalmic orbits unable to wear prosthesis
url http://dx.doi.org/10.1155/2019/7197063
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AT shuyawu longtermresultsofautologousauricularcartilagegraftappliedinanophthalmicorbitsunabletowearprosthesis
AT yuehjutsai longtermresultsofautologousauricularcartilagegraftappliedinanophthalmicorbitsunabletowearprosthesis