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Paper Information

Journal:   BINA   Fall 2000 , Volume 6 , Number 1; Page(s) 50 To 63.
 
Paper: 

TREATMENT OF SOFT TISSUE COMPLICATIONS OF HYDROXYAPATITE IMPLANTS

 
 
Author(s):  SADEGHI TARI A., BAHMANI KASHKOULI M., HAMZEH DOUST KH., GHANBARPOUR MOGHADAM REZA
 
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Abstract: 

Purpose: To evaluate the soft tissue complications, management and improvement of hydroxyapatite implantation.
Materials and methods: In this prospective interventional case series study, 40 patients suffering from complications of hydroxyapatite implantation were evaluated during one year (1998-99).
The patients were categorized in four groups according to the complications and then appropriate management was performed. The four groups include patients with: (1) discharge, (2) tenon hypertrophy, (3) hydroxyapatite exposure and (4) hydroxyapatite exposure with discharge. The patients were evaluated until complete cure or diagnosed as non-responsive state.
Results: The most common cause of anophthalmic socket was eye trauma, most of the patients underwent enucleation. The most common complication was hydroxyapatite exposure with dis-charge. There was evidence of infection (culture positive discharge) in 70% of the patients. The most frequent organism was staphylococcus aureus. The highest rate of improvement (100%) was seen in the patients with tenon hypertrophy and the least rate (56.2%) in the patientrs with hydroxyapatite exposure (77.5%), and no improvement in 9 cases (22.5%).
Conclusion: Early appropriate diagnosis and treatment of the complications of hydroxyapatite implantation will decreases removing of the implant. Despite the complications, hydroxyapatite implantation is still one of the most effective, useful, and common operations in anophthalmic sockets.

 
Keyword(s): ANOPHTHALMIC SOCKETS, HYDROXYAPATITE IMPLANTATION, COMPLICATIONS
 
References: 
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