노출된 하이드록시아파타이트 안와삽입물에서 동종진피이식술의 효과

• 영문명: Management of Exposed Hydroxyapatite Implant with Acellular Dermal Allograft
• 발행기관: 대한안과학회
• 저자명: 윤경철 지영석 박영걸,Kyung-Chul Yoon, M.D., Yong-Sok Ji, M.D., Yeoung-Geol Park, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number6, 927~932쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.06.30

영문 초록

Purpose: To evaluate the clinical effect of AlloDerm? graft on the management of exposed hydroxyapatite orbital implants. Methods: Seven eyes of 7 patients with large exposure of hydroxyapatite orbital implants were included. After the spicules of hydroxyapatite implants were smoothened with a drill, AlloDerm? was applied to the exposed site and sutured with 8-0 Vicryl. One or two layers of amniotic membrane were transplanted on the AlloDerm? graft. Results: All patients underwent the drilling, and the mean intervals from drilling to exposure was 73.4±46.6 months. The mean follow-up period was 11.17±2.0 months (range, 9-14 months). Complete conjunctival epithelization occurred in 3 eyes, and partial conjunctival epithelization in 3, including one eye which underwent reoperation with AlloDerm?. In one eye which had been associated with previous infection, hydroxyapatite was removed due to progressive exposure and inflammation of the implant. Conclusions: AlloDerm? graft is useful in the management of exposed hydroxyapatite implant.

키워드

AlloDerm?, Amniotic membrane transplantation, Exposure, Hydroxyapatite implant