A retrospective study of the use of Dermis Fat Grafts for orbital volume augmentation
Reviewed by Konal Saha

The authors describe the outcomes of 173 primary Dermis Fat Grafts (DFGs) and 66 secondary DFGs. Median follow-up for the primary group was 21.5 months and 14 months for the secondary group. Outcome measures included: prosthesis motility, prosthesis fit, patient / parent satisfaction and complications. After primary DFG motility was deemed excellent in 76%, patient satisfaction was excellent in 83% and prosthetic fitting excellent in 81%. After secondary DFG these results fell to: 34%, 57% and 49% respectively. The most common major complication following primary or secondary DFG was graft atrophy (3.5% after primary and 6.1% after secondary). The authors conclude that DFG is a useful option for augmenting orbital volume. The technique 
may have significant benefit in areas where allograft implants are not available or where implant infection may be a significant risk.

Dermis fat grafts as primary and secondary orbital implants.
Nentwich MM, Schebitz-Walter K, Hirneiss C, Hintschich C.
ORBIT
2014:33(1);33-8.