Assessing full thickness oral mucosal grafting : complicatio
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Conjunctival defects can be repaired with several mucosal tissues. The simplicity of harvesting oral mucosa and its wide availability makes it the preferred graft tissue for all indications requiring mucosal grafting. Through analysing the postsurgical outcomes and rate of revisions, this study explores the suitability of oral mucosa grafts, depending on the initial diagnosis.

All the files of patients with a history of oral mucosal graft surgery are reviewed, performed at clinic between 2012 and 2018, focusing on complications and revision rates.
In total,173 oral mucosa grafts analysedin 131 patients. The most common initial diagnosis was tumour resection, followed by surgical complications, post enucleation socket syndrome, trauma and ocular surface disorders. Complication and revision rates depend highly on the initial diagnosis. Revision rates were highest if the initial diagnosis included ocular surface disorders or chemical trauma.

In conclusion, OMG is the most effective treatment for a wide range of ocular conditions involving conjunctival defects. OMG after tumour resection or prior to surgical intervention has few postoperative complications and seldom requires revision procedures. Similarly, OMG revision rates are low when used in
the process of a fornix reconstruction in patients with post enucleation socket syndrome. In contrast, conjunctival defects as a result of trauma or cicatricial surface diseases seem less suitable for OMG. Here, alternative graft tissue or treatment options should be considered.

Source: https://bmjophth.bmj.com/content/5/1/e000337
Like
Comment
Share