Implant infection in porous orbital implants

dc.authorid0000-0002-9719-9604
dc.authorid0000-0003-2039-9461
dc.contributor.authorKarslıoğlu, Şafak
dc.contributor.authorSerin, Didem
dc.contributor.authorŞimşek, İlke
dc.contributor.authorZiylan, Şule
dc.date.accessioned2021-06-23T19:18:48Z
dc.date.available2021-06-23T19:18:48Z
dc.date.issued2006
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description23rd Annual Meeting of the European-Society-of-Ophthalmic-Plastic-and-Reconstructive-Surgery -- SEP 15-17, 2005 -- Iraklion, GREECEen_US
dc.description.abstractPurpose. To analyze implant infection in patients with porous orbital implants. Methods: A retrospective analysis of 212 patients with one of five types of porous orbital implants (bone-derived hydroxyapatite [HA], coralline HA, synthetic HA, porous polyethylene, and aluminium oxide) was conducted. Reasons for surgery, type of surgery, type of implant, peg system used, time of pegging, problems before and after pegging, treatment, and follow-up duration were recorded for all patients, along with additional data including time of onset of infection, microorganism cultured, antibiotics used, patient response to antibiotic therapy, additional interventions, and final status for patients with infection. Results: Of the 212 patients with porous orbital implants, 116 (54.72%) were pegged. Implant infection was observed in 11 of 116 patients (9.48%) with pegs, whereas 0% of unpegged implants was infected (p = 0.001). The interval between pegging and the onset of infection was 3 to 83 months (average, 36.27 +/- 29.12 months). Implant exposure was noted in 5 of the 11 patients with infection. Symptoms resolved completely with antibiotic treatment in 7 patients. One patient required implant removal as the result of frequent exacerbations. The remaining 3 patients presented with hemorrhagic, purulent discharge and/or pyogenic granuloma on their last visits after being free of symptoms for 5 to 6 months. Conclusions. Implant infection is a serious problem that requires additional patient visits, intensive antibiotic therapy, surgery, or some combination of these. Existence of a peg system appears to play a role in implant infection. Infection may develop as late as 6 to 7 years after pegging, and the patient should be cautioned about potential late-onset problems. It is possible to control the infection with appropriate antibiotic therapy; removal should be reserved for refractory cases.en_US
dc.description.sponsorshipEuropean Soc Ophthalm Plast & Reconstruct Surgen_US
dc.identifier.doi10.1097/01.iop.0000248156.41020.94
dc.identifier.endpage466en_US
dc.identifier.issn0740-9303
dc.identifier.issue6en_US
dc.identifier.pmid17117103en_US
dc.identifier.scopus2-s2.0-33751247613en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage461en_US
dc.identifier.urihttps://doi.org/10.1097/01.iop.0000248156.41020.94
dc.identifier.urihttps://hdl.handle.net/20.500.12491/5813
dc.identifier.volume22en_US
dc.identifier.wosWOS:000242496200013en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorSerin, Didem
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofOphthalmic Plastic And Reconstructive Surgeryen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectImplant Infectionen_US
dc.subjectPorous
dc.subjectOrbital Implants
dc.titleImplant infection in porous orbital implantsen_US
dc.typeConference Objecten_US

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