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One‐stage explant–implant procedure of exposed porous orbital implants
Author(s) -
Toft Peter B.,
Roed Rasmussen Marie L.,
Prause Jan U.
Publication year - 2012
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2010.01914.x
Subject(s) - implant , medicine , dentistry , surgery , implant failure
Abstract. Purpose: To investigate the risks of implant exposure after a combined explant–implant procedure in patients with an exposed porous orbital implant. Methods: Twenty‐four consecutive patients who had a combined explant–implant procedure of an exposed hydroxyapatite (21) or porous polyethylene (3) orbital implant from January 2000 to February 2009 were included. The patient records were reviewed; patients were interviewed by telephone and invited for a clinical examination. Histopathological examination was carried out on the removed implants. Main outcome measures were: presence of exposure of the new implant or not, patient graded satisfaction with the cosmetic result, and presence of poor motility. Results: None of the new implants became exposed or infected in the follow‐up period of 25 [3–94] months (median [range]). The patients scored their satisfaction with the cosmetic result to a median score of 9 (range 5–10). Poor motility was present in six of 17 patients. Micro‐organisms were identified in three removed implants and signs of inflammation were present in 20 removed implants. Conclusions: If a decision of implant removal has been made, it is safe to replace the implant at the same procedure in sockets without profound signs of infection. The procedure carries a possible risk of poor motility.