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ENUCLEATION IN MALIGNANT CHOROIDAL MELANOMA - results in 15 years of using a new material in the prosthesis of the orbital cavity

Rationale: Enucleation implants are covered with a material that allows the fixation of the extraocular rectus muscles. Usually, the implants are covered in donor sclera, which implies the risk of infection transmission, inflammation and implant rejection, being also an expensive procedure. The new...

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Autores principales: Tataru, CP, Pop, MD
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Carol Davila University Press 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3391888/
https://www.ncbi.nlm.nih.gov/pubmed/22802888
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author Tataru, CP
Pop, MD
author_facet Tataru, CP
Pop, MD
author_sort Tataru, CP
collection PubMed
description Rationale: Enucleation implants are covered with a material that allows the fixation of the extraocular rectus muscles. Usually, the implants are covered in donor sclera, which implies the risk of infection transmission, inflammation and implant rejection, being also an expensive procedure. The new materials used for implant meshing should be tested and a safer and cost effective solution should be researched. Objective: This study presents the results obtained after a 15-year use of an original prosthesis for the reconstruction of the orbital cavity after enucleation surgery. Methods and results: 42 eyes of 42 patients who underwent enucleation surgery for choroidal malignant melanoma were included in the study. The surgical technique was very similar to the classic enucleation, the major difference being the implant of a prosthesis made out of a Polymethyl methacrylate (PMMA) ball covered by a Polyethylene terephthalate (dacron) shell used in cardiovascular surgery. All the patients had a very good technical result, without the inflammation of the orbital cavity, conjunctiva or eyelids, which demonstrates a very high material tolerability and an excellent cosmetic result. Late implant expulsion appeared in 7.14% of the patients (3 cases). Discussion: The particularly good results obtained by using this technique, the absence of an inflammatory reaction after surgery, and the long lasting stability of the implant, recommend the method as being safe, with no major complications and a good esthetic result. AbbreviationsPolymethyl methacrylate (PMMA), Malignant choroidal melanoma (CMM)
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spelling pubmed-33918882012-08-12 ENUCLEATION IN MALIGNANT CHOROIDAL MELANOMA - results in 15 years of using a new material in the prosthesis of the orbital cavity Tataru, CP Pop, MD J Med Life Case Presentation Rationale: Enucleation implants are covered with a material that allows the fixation of the extraocular rectus muscles. Usually, the implants are covered in donor sclera, which implies the risk of infection transmission, inflammation and implant rejection, being also an expensive procedure. The new materials used for implant meshing should be tested and a safer and cost effective solution should be researched. Objective: This study presents the results obtained after a 15-year use of an original prosthesis for the reconstruction of the orbital cavity after enucleation surgery. Methods and results: 42 eyes of 42 patients who underwent enucleation surgery for choroidal malignant melanoma were included in the study. The surgical technique was very similar to the classic enucleation, the major difference being the implant of a prosthesis made out of a Polymethyl methacrylate (PMMA) ball covered by a Polyethylene terephthalate (dacron) shell used in cardiovascular surgery. All the patients had a very good technical result, without the inflammation of the orbital cavity, conjunctiva or eyelids, which demonstrates a very high material tolerability and an excellent cosmetic result. Late implant expulsion appeared in 7.14% of the patients (3 cases). Discussion: The particularly good results obtained by using this technique, the absence of an inflammatory reaction after surgery, and the long lasting stability of the implant, recommend the method as being safe, with no major complications and a good esthetic result. AbbreviationsPolymethyl methacrylate (PMMA), Malignant choroidal melanoma (CMM) Carol Davila University Press 2012-06-12 2012-06-18 /pmc/articles/PMC3391888/ /pubmed/22802888 Text en ©Carol Davila University Press http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Presentation
Tataru, CP
Pop, MD
ENUCLEATION IN MALIGNANT CHOROIDAL MELANOMA - results in 15 years of using a new material in the prosthesis of the orbital cavity
title ENUCLEATION IN MALIGNANT CHOROIDAL MELANOMA - results in 15 years of using a new material in the prosthesis of the orbital cavity
title_full ENUCLEATION IN MALIGNANT CHOROIDAL MELANOMA - results in 15 years of using a new material in the prosthesis of the orbital cavity
title_fullStr ENUCLEATION IN MALIGNANT CHOROIDAL MELANOMA - results in 15 years of using a new material in the prosthesis of the orbital cavity
title_full_unstemmed ENUCLEATION IN MALIGNANT CHOROIDAL MELANOMA - results in 15 years of using a new material in the prosthesis of the orbital cavity
title_short ENUCLEATION IN MALIGNANT CHOROIDAL MELANOMA - results in 15 years of using a new material in the prosthesis of the orbital cavity
title_sort enucleation in malignant choroidal melanoma - results in 15 years of using a new material in the prosthesis of the orbital cavity
topic Case Presentation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3391888/
https://www.ncbi.nlm.nih.gov/pubmed/22802888
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