Umbilical cord dehydrated tissue in oculoplastics: A new therapeutic technique?
Author: Marie Callet
Base Hospital / Institution: Rothschild Foundation Hospital
ePoster presentation
Abstract ID: 25-502
Purpose
Ultra-thick amniotic membrane grafts derived from the umbilical cord have become available recently. We present a case series describing a new reconstructive technique involving an umbilical cord patch for eyelid and orbital reconstruction surgery
Methods
This was a single-center, prospective clinical case series of 33 patients (38 eyes) who were considered for eyelid and orbital reconstruction with use of an umbilical cord patch. Patients were treated for diverse indications: conjunctival repair after conjunctival tumor excision for 6.3% (n=2), anterior lamellar recession for 37.5% (n=12), and fornix reconstruction for 40.6% (n=13) over 13,5 months
Results
All patients reported satisfactory tolerance and efficacity. At 1 month, the success rate was 87.1% (n=27) and at 9 months, it was 73.7% (n=28). It was higher in the anterior lamellar recession than fornix reconstruction group (87.5% vs 50%) (p=0.006 and p=0.003, respectively). The complication rate was 9%, with no major complications as a result of the graft itself.
Conclusion
Umbilical cord patches may be useful for oculoplastic reconstruction. The 38 cases we present highlight the utility of using an umbilical cord patch for eyelid and orbital procedures that has traditionally required more invasive techniques. This technique does not require a buccal mucous membrane graft, avoids scars with grafts, and uses a well-tolerated tissue. We recommend this technique in patients in whom traditional options have failed or are not applicable.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Olivier | Galatoire | Rothschild Fondation Hospital |
