AI Article Synopsis
- Orbital reconstruction after trauma or tissue loss is complicated, requiring careful consideration of factors like patient health, graft options, infection risk, and cosmetic outcomes.
- Surgeons may choose from different types of grafts, including xenografts, allografts, and autografts, each with unique advantages and challenges based on the repair needs.
- A case study highlights successful orbital reconstruction using tri-layer Kerecis (cod fish skin), resulting in good eye positioning and movement after a gunshot injury.
Article Abstract
Orbital reconstruction following orbital trauma, tissue sacrifice from cancer resection, or other tissue loss poses a unique challenge for surgeons. Factors to consider include the patient's systemic health status, potential for adjuvant radiation, final composition, and strength of the graft, infection risk, graft rejection, status of visual function, and cosmetic outcome. In settings where a permanent artificial implant is avoided due to exposure or infection risk, potential tissue utilized includes xenografts, allografts, and autografts-each with variable benefits and drawbacks, depending on the surgical goals of the repair. We describe a case of orbital reconstruction after a gunshot wound to the left orbit using tri-layer Kerecis (decellularized intact North-Atlantic cod fish skin) with excellent globe position and maintenance of ocular motility.
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| http://dx.doi.org/10.1097/IOP.0000000000002594 | DOI Listing |
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