Original ArticlesUsefulness of Palatal Mucoperiosteal Grafts for Artificial Eye Socket ContractureIto, Osamu MD*; Suzuki, Shigehiko MD†; Park, Susam MD†; Muneuchi, Gan MD†; Kawazoe, Takeshi MD†; Saso, Yasumi MD†; Onodera, Masayuki MD†; Hata, Yuiro MD‡Author Information From the *Department of Plastic Surgery, Kagawa Prefectural Central Hospital, Takamatsu-city, Kagawa, Japan, the †Department of Plastic and Reconstructive Surgery, Kagawa Medical University, and the ‡Department of Plastic and Reconstructive Surgery, Tokyo Medical and Dental University, Tokyo, Japan. Received Dec 2, 2002, and in revised form Feb 8, 2003. Accepted for publication Feb 8, 2003. Address correspondence and reprint requests to Osamu Ito, MD, 1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa 761-0793, Japan. E-mail: [email protected] Ito O, Suzuki S, Park S, et al. Usefulness of palatal mucoperiosteal grafts for artificial eye socket contracture. Annals of Plastic Surgery: September 2003 - Volume 51 - Issue 3 - p 278-282 doi: 10.1097/01.SAP.0000068115.91989.A4 Buy Metrics AbstractIn Brief The authors performed palatal mucoperiosteal grafting for contracture of the artificial eye socket in 4 patients. Mucoperiosteal grafts were collected from the paramedian area of the hard palate. After release of contracture, the grafts were sutured with absorbable thread to the defective areas on the conjunctival side of the artificial eye socket after release of contracture. All patients showed mucoperiosteal graft survival without problems, no recurrence of contracture, and good courses of artificial eye wear. The mucoperiosteal donor areas showed closed healing after 3 to 4 weeks. Palatal mucoperiosteal grafts can be collected en bloc and are relatively rigid, which allows the simultaneous reconstruction of the conjunctival side and supportive tissue of the eyelid. Although the size of graft collection is limited, grafts with adequate size for partial reconstruction can be collected. Mucoperiosteal grafts are a good reconstruction material for contracture of the artificial eye socket. Four contracted eye sockets were treated by contracture release and palatal mucoperiosteal grafting with satisfactory subsequent prosthetic eye use. Donor area healing was complete within three to four weeks. © 2003 Lippincott Williams & Wilkins, Inc.