The Versatility of the Temporoparietal Fascial Graft (TPFG) in Orbital Implant Exposure

Abstract

Background: The use of TPFGs for hydroxyapatite, porous polyethylene and silicone implant exposure has been described previously. To the authors’ knowledge, this is the first description of this technique for acrylic implant exposure and paediatric patients.

Purpose: To demonstrate the versatility of the TPFG in orbital implant exposures of varying duration, implant types and patient age as well as for recurrent exposure.

Methods: Retrospective, interventional, non-comparative case series.

Results: Twelve patients (13 grafts) are presented with a mean follow-up of 9.5 months. The duration of exposure prior to grafting ranged from 1–11 months occurring in bioceramic, hydroxyapatite, porous polyethylene and acrylic implant types. There were 2 graft failures (success rate 84.6%), one of which was treated with a 2nd TPFG. Two of the cases were from the paediatric age group.

Conclusion: This study provides further supporting evidence for the safety and efficacy of the TPFG and demonstrates the use of this graft in a variety of different clinical situations.

• Orbital implant exposure
• temporoparietal grafts
• versatility

Acknowledgments

We would like to thank all patients who contributed to the case-series.