Original Research Article
Year: 2021 | Month: July | Volume: 8 | Issue: 7 | Pages: 1-8
DOI: https://doi.org/10.52403/ijrr.20210701
Evaluation of Multistage Oral Mucosal Grafting From Single Donor Site in Reconstruction of Severely Contracted Ocular Socket
Nitin V Vichare1, Rakesh Maggon2
1Dept of Ophthalmology, Command Hospital (SC), Wanawadi, Pune Maharashtra Pin 411040.
2Dept of Ophthalmology, Command Hospital (WC), Chandimandir, Panchkula Haryana Pin 134107.
Corresponding Author: Nitin V Vicharek
ABSTRACT
Background: Management of severely contracted ocular socket with inability to retain ocular prosthesis is one of the most difficult problems to tackle. This study aimed to evaluate feasibility, cosmetic outcome and donor site complications of multistage Mucous Membrane Grafting (MMG) from single donor site.
Methods: In this prospective, non-randomized study, 07 patients with severely contracted ocular socket (grade 3-5 Gopal Krishna classification) underwent repair with oral MMG in multiple stages under general anaesthesia. Graft harvested from single donor site from inner aspect of lower lip at every surgery. Subsequent surgery was done 08 weeks later after healing of donor site and reassessment of residual socket contraction. All patients were given customised ocular prosthesis. Patients evaluated for ability to retain the prosthesis and cosmetic outcome.
Results: Mean age of patients was 43.5 years. Majority of patients were grade 4 socket contraction. Majority required 2 stages of MMG surgery. While 2 patient required 3 stages of MMG. One patient with grade 5 contraction unable to achieve satisfactory retention of prosthesis even after 3 stages of MMG. Rest all patients had adequate expansion of surface and were able to retain customised ocular prosthesis with satisfactory cosmetic outcome. No patient developed donor site infection or contracture.
Conclusion: MMG from single donor site in multiple stages for repair of severely contracted ocular socket is effective technique in terms of ease of surgery, cost effectiveness, ability to retain prosthesis and cosmetic outcome.
Keywords: contracted socket, mucous membrane graft, buccal mucosa, ocular prosthesis.
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