Purpose: To present a surgical technique for the early maintenance of the severely contracted socket following reconstruction.
Methods: Two patients with severely contracted sockets following multiple procedures and recurrent failure were identified over a 1 year period. Following fornix and eyelid reconstruction, silicone fixative was injected into the fornix through a standard conformer. The silicone fixed around a pre-placed K-wire passed from the lateral orbital rim to the posterior lacrimal crest. Both silicone and wire were removed at 3 months.
Results: Both patients were able to wear and maintain an acceptable prosthesis following the surgical procedure.
Conclusion: This is a safe and effective method for the early maintenance of a severely contracted socket. This technique minimizes cheesewiring or extrusion and avoids damage to superior and inferior muscles and structures.
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