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

doi:10.1080/01676830.2018.1537288

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 journal › Article › peer-review

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 language	English (US)
Pages (from-to)	318-321
Number of pages	4
Journal	Orbit (London)
Volume	38
Issue number	4
DOIs	https://doi.org/10.1080/01676830.2018.1537288
State	Published - 2019
Externally published	Yes

Keywords

Evisceration
extrusion
silicone implant
surgical technique

ASJC Scopus subject areas

Ophthalmology

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10.1080/01676830.2018.1537288

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@article{a5fc6001513648f895e77a5f0f71a5f3,

title = "Anterior vestibule salvaging technique to limit silicone orbital implant extrusion following evisceration",

abstract = "Purpose: The anterior vestibule salvaging ({\textquoteleft}Birdcage{\textquoteright}) 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}",

note = "Funding Information: Supported by an unrestricted grant to Indiana University from Research to Prevent Blindness, Inc. (New York, NY). The funding party did not have any role in the study design, collection of data, analysis of data, writing of the manuscript, or decision to submit the manuscript. Publisher Copyright: {\textcopyright} 2018, {\textcopyright} 2018 Taylor & Francis Group, LLC.",

year = "2019",

doi = "10.1080/01676830.2018.1537288",

language = "English (US)",

volume = "38",

pages = "318--321",

journal = "Orbit (London)",

issn = "0167-6830",

publisher = "Taylor and Francis Ltd.",

number = "4",

}

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

N1 - Funding Information: Supported by an unrestricted grant to Indiana University from Research to Prevent Blindness, Inc. (New York, NY). The funding party did not have any role in the study design, collection of data, analysis of data, writing of the manuscript, or decision to submit the manuscript. Publisher Copyright: © 2018, © 2018 Taylor & Francis Group, LLC.

PY - 2019

Y1 - 2019

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

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

Abstract

Keywords

ASJC Scopus subject areas

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