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EVALUATION THE RESULT OF MYOCONJUNCTIVAL ENUCLEATION WITH ORBITAL IMPLANT IN CHILDREN
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Abstract
Purpose: To evaluate the cosmetic results and safety of myoconjunctival enucleation with orbital implant compared with the traditional enucleation with muscle imbrication. Method: Serial cases report of unilateral enucleation patients, including retinoblastoma patients who failed conservative therapy, treated at the Pediatric ophthalmology department of Ho Chi Minh City Eye Hospital from 02/2021 to 09/2022. Result: After 6 months of follow-up, there are no differences between the two groups about cosmetic results (palpebral high, upper eyelid shallow, lower eyelid laxity, and socket contraction) (p>0,05). The implant migration in myoconjunctival technique group is 15,6%, and muscle imbrication group is 37,5% (p=0,048); implant exposure was only noted in myoconjunctival technique group with 3,1% (p>0,05); implant extrusion in myoconjunctival technique group is 3,1% and muscle imbrication group is 6,2% (p>0,05). Conclusion: The myoconjunctival enucleation with orbital implant has the same cosmetic results as the traditional enucleation with muscle imbrication, but the myoconjunctival technique group has a lower rate of implant migration.
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Keywords
enucleation; orbital implant; retinoblastoma; myoconjunctival technique; muscle imbrication technique
References
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