Dermis-fat Graft Research Articles

Flap revascularization in patients following immediate reconstruction using an autologous free dermal fat graft for breast cancer: a report of two cases.

It has been reported that use of the free dermal fat graft (FDFG) technique produces a good cosmetic outcome for breast cancer. An FDFG is harvested from the lower abdomen as a columnar-shaped specimen and implanted into the defect of the breast after a partial mastectomy as a volume replacement technique. In this report, two patients who underwent breast-conserving surgery with immediate reconstruction using an autologous FDFG are described in order to show the difference in status between one case with and one without blood flow in the graft. To assess the benefit of this technique using FDFGs, their cosmetic satisfaction was evaluated using a questionnaire, graft shrinkage was measured by CT, and blood flow was assessed using contrast-enhanced ultrasound (CEUS). Both patients scored 10 of 12 points on the questionnaire. After 2 years, shrinkage of the grafts was 21.6 and 25.2 %, respectively. Although one patient had no blood flow in the center of the graft, the other had blood flow from the pectoralis major muscle to the center of the graft. While satisfaction and graft shrinkage were similar in the two patients, one case showed blood flow and had a somewhat softer graft than the other. The graft status was maintained with a good cosmetic outcome for 3 years after breast-conserving surgery with immediate reconstruction using an autologous FDFG, despite mild shrinkage and hardness of the graft. It is notable that blood flow was observed into the graft on CEUS, and more distinct perfusion was seen in the softer graft case after more than 3 years.

Management of Saddle Nose Deformity Using Dermal Fat and Costal Cartilage “Sandwich” Graft: A Problem-Oriented Approach and Anthropometric Evaluation

In the surgical treatment of saddle nose deformity (SND), costal cartilage is often used. However, it can result in some potential complications such as resorption, bending, displacement, and its appearance under the skin (silhouette deformity). We prepared a composite "sandwich" graft by camouflaging the costal cartilage underneath the dermal fat graft as a novel method and applied it on SNDs using the closed rhinoplasty technique to prevent or minimize these risks. The method was used for 21 patients (12 males and 9 females). Six anthropometric measurements, including the nasal dorsum projection, nasal supratip projection, nasal tip projection, nose length, labiocolumellar angle, and nasofrontal angle, were taken using the ImageJ program (National Institutes of Health, Bethesda, MD) on preoperative and postoperative lateral photographs. The data were compared statistically. The mean follow-up time was 29.95months. No donor site complications developed. The sandwich grafts transferred to the nose were well tolerated in all patients. A partial graft failure and a mild bending, which were treated conservatively without supplemental surgery, developed in 1 patient each. No resorption, migration, bending, or appearance under the skin of the sandwich grafts were seen in the remaining patients. A statistically significant difference was found in all anthropometric measurements from the preoperative and postoperative groups except for2. The severity of the deformity should be exactly determined before surgery, and cartilage grafts should be used accordingly for successful repair of SND. The sandwich technique, as a practical, effective, and long-lasting treatment method, could minimize the potential complications and risks of revision.

Dermis-Fat Graft in Children as Primary and Secondary Orbital Implant.

To report the experience with the use of dermis-fat graft in the pediatric population and to evaluate the outcome of this procedure as a primary or secondary orbital implant. Case series. Analysis of the clinical charts of 22 patients. Age at the time of surgery ranged from 2.1 to 13 years. Three patients affected were submitted to evisceration with primary dermis-fat graft. Six patients had explantation of exposed implants and a replacement with a dermis-fat graft. Three patients had a dermis-fat graft to repair contracted sockets. Ten patients were affected by congenital anophthalmia: 4 patients had a primary dermis-fat graft, 6 patients had a removal of a socket expander, or an orbital spherical expander, or pellet expanders and a replacement with a dermis-fat graft. This study adheres to the principles outlined in the Declaration of Helsinki. The patients' follow up ranged between 2.5 and 8 years. Only 1 child who had a primary dermis-fat graft experienced excessive growth of the implant, managed by surgical debulking. In the end, all the patients showed satisfactory orbital volume along with adequate fornices. The dermis-fat graft as a primary implant may be useful in children with severe scleromalacia or following ocular trauma. It is a suitable option in children affected by congenital anophthalmia as it helps continued socket expansion. It can also be considered in the pediatric population to address the volume deficit following explantation of exposed implants and in contracted sockets.

Combined external and endonasal approach to fronto-ethmoidal mucocele involving the orbit

PurposeTo present a technique to improve the surgical treatment of frontal sinus mucocele and its recurrence. MethodsNine procedures performed on eight patients by a team of ENT and Ophthalmic orbital surgeons. Data collected included patient demographics, surgical details, pathological findings and complications. The surgical technique involved an external approach via the upper eyelid skin crease combined with an internal approach with a rigid 4 mm endoscope described below. Following evacuation of the mucocele the sinus was anastomosed to nasal cavity with insertion of silicon stent. All patients had preoperative and postoperative CT scans of the orbit and paranasal sinuses. ResultThere were nine operations on eight patients (six males, two female patients, mean age of 57.25: range, 15–71). Two patients had inverted papillomas. All patients presented with non-axial proptosis and diplopia. The mean follow up period was 38.7 months (range 11–99). The only intraoperative complication noted was a cerebrospinal fluid (CSF) leak in a patient with a post traumatic mucocele. Post-operative complications included lid scarring in 2 patients. One of the patients had a fistula overlying the affected sinus at presentation. Both patients underwent dermis fat grafting as a second stage procedure and responded well. One patient presented with asymptomatic superior oblique weakness that could be attributed to trauma to the superior oblique intra operatively. There was no case of recurrence of mucocele in our series. One of the inverted papillomas had an early recurrence (within 6 months) that required repeat surgery. ConclusionFronto nasal anastomosis restores the anatomy and reduces the chance of recurrence in our experience. The final cosmetic result is excellent and the patient's satisfaction is high.

Role of Interpositional Dermal Graft in Management of Recurrent Temporomandibular Joint Ankylosis: A Case Series of Three Patients

The Temporomandibular Joint (TMJ) ankylosis is a condition of the joint that causes problem in mouth opening, mastication, digestion, speech, hygiene and appearance. The treatment of TMJ ankylosis poses a significant challenge because of high incidence of recurrence and technical difficulties. Various soft tissue grafts like temporalis fascia and temporalis muscle, collagen membrane and dermal fat pad have been used in the surgical management of TMJ ankylosis. We present a series of three recurrent cases of TMJ ankylosis in which we used dermal fat graft as interpositional graft.

Modified Penile Augmentation by Dermal-Fat Graft in Post-Hypospadias Adults

Although a considerable part of patients desire further improvement in penile size after hypospadias repairs, penile augmentation is only considered in patients with congenital penile hypoplasia or acquired penile retraction. Modified penile augmentation by free dermal-fat graft is introduced to satisfy these patients and improve surgical safety. From April 2012 to December 2014, a total of 15 male adults after hypospadias repairs, aged 18-24 years, underwent modified penile augmentation which involved girth enhancement by a free dermal-fat graft and penile elongation (suprapubic skin advancement-ligamentolysis). A specially designed tunneling instrument was introduced to facilitate pericavernous thickening without degloving. Outcome evaluation was mainly based on objective penile measurements and results of the Male Genital Image Scale. With 6 months' follow-up, all patients had achieved excellent cosmetic results, with a significant average dimensional increase of 1.53 ± 0.23 cm in flaccid girth and 1.67 ± 0.24 cm in flaccid length. No erection deficiencies or urinary fistula occurred. Patients' perception of male genitalia improved postoperatively, with the average MGIS score rising from 31.73 ± 4.86 to 40.20 ± 4.54. This modified technique is safe and effective in enlarging penile size. The use of the specially designed tunneling instrument simplifies penile girth enhancement, avoiding unnecessary trauma to the neo-urethra and neurovascular bundle. It is confirmed that physical dimensional enhancement does contribute to improving their underestimation of penile size. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Use of dermis-fat grafts in the prevention of Frey's syndrome after parotidectomy.

To examine the role of dermis-fat grafts in preventing gustatory sweating and in the reconstruction of facial contour defects after parotidectomy. Twenty-three patients with tumours of the parotid gland were enrolled in this prospective clinical study from January 2006 to February 2014. All of them were evaluated for wound complications, Frey's syndrome, satisfaction, and tumour relapse. Follow-up periods ranged from 6 to 72 months. Nineteen patients completed the study. Nine complications observed in six patients were assessed (two haematomas [10%], one seroma [5%], one sialocele [5%], and recurrent pain in five patients [26%]). None revealed Frey's syndrome. Satisfactory results were found in relation to scar, facial contour, and overall outcomes. Dermis-fat grafts appear to be an effective method of preventing Frey's syndrome after parotidectomy. The stable long-term results and high patient satisfaction lead to the application of this operation technique in daily routine.

Effects of free fat grafting on the prevention of Frey's syndrome and facial depression after parotidectomy: A prospective randomized trial.

To evaluate the effectiveness of free fat grafting in preventing Frey's syndrome (FS) and facial depression after parotidectomy compared with acellular dermis. A prospective randomized trial was performed. Patients who underwent parotidectomy were randomly assigned to abdominal free fat or acellular dermis grafting groups. The occurrence of FS, the aesthetic outcome, economic results, and other complications were evaluated. Both acellular dermis and free fat grafts were effective in preventing FS with an equal rate of postoperative complications. Patients undergoing free fat grafting had a significantly higher aesthetic score and lower cost than those undergoing acellular dermis grafting. Free fat grafting has equal risks but more advantages compared with acellular dermis. Free fat grafting is an effective, convenient, and inexpensive option for parotidectomy defect reconstruction. 1b.

Commentary on: Superficial Enhanced Fluid Fat Injection (SEFFI) to Correct Volume Defects and Skin Aging of the Face and Periocular Region

I find the authors' historical view of clinical fat grafting mistaken, including their use of “micro” as definitive nomenclature, as well as their claim that the harvesting of fat with small side-hole cannulas (without further processing) is somehow novel. Coleman, as they indicate, indeed popularized modern fat grafting, by codifying a reproducible clinical technique that placed fat in a structural way—from deep to superficial—throughout the face with blunt needles, stressing the distribution of small fat parcels widely within a nutritive substrate. Equally important, he assured the survival of what many saw as another fad movement within plastic surgery through the presentation of impressive, long-term clinical results. He also developed and made available an instrument to support the new clinical activity. Early on, I, along with others1 (Dr F Benslimane, personal communication, 2001), had trouble with the large Coleman injection needles within the delicate suborbital zone. I responded by substituting a cumbersome but effective deep dermal–fat graft for a time, but eventually discovered an existing ophthalmologic McIntyre blunt, inner cannula: designed to irrigate the canaliculus, its delicate shaft fits easily within the Coleman injection needles and it has a blunt end and minute side hole, as I reported in 2001.2 Since its first use in 1999, I have had no visible irregularities within this challenging region. Soon after, I was introduced to a micro-infusion cannula with multiple small side-holes (also pre-existing and entirely similar to the authors' much later harvesters) by one of the manufacturers, which facilitated the harvest of smaller fat parcels for what I now called “micro” fat grafting to contrast with “macro” grafting by the original Coleman needles, which I continued to use only in the vein-rich environment of the dorsum of the hand. Virtually all manufacturers of fat-grafting equipment have long since added similar micro …

Outcome of Surgical Protocol for Treatment of Temporomandibular Joint Ankylosis Based on the Pathogenesis of Ankylosis and Re-Ankylosis. A Prospective Clinical Study of 14 Patients

Trauma is the leading cause of temporomandibular joint (TMJ) ankylosis, and the treatment of this condition poses a considerable challenge because of the high incidence of recurrence. The author hypothesized that a treatment of ankylosis based on pathogenesis would result in a better outcome and a lower recurrence rate. The author designed and implemented a prospective clinical study. The sample was composed of patients with TMJ ankylosis. The predictor variables were the affected side and patient age and gender. The outcome variable was maximal interincisal opening (outcome MIO). Descriptive and bivariate statistics were computed, and the P value was set at less than .05. The protocol consisted of the following steps: 1) perioperative indomethacin for 2weeks; 2) the creation of a minimal gap of 5 to 10mm; 3) ipsilateral coronoidectomy and (if required) contralateral coronoidectomy; 4) pterygomasseteric sling and temporalis muscle release; 5) interpositional dermis fat graft fixed to the condylar stump; 6) insertion of a suction drain; 7) immediate aggressive physiotherapy for at least 6months; 8) regular long-term follow-up; and 9) delayed reconstruction using distraction osteogenesis. The sample was composed of 14 patients (3 male and 11 female). Of these patients, 9 and 5 exhibited unilateral and bilateral ankylosis, respectively, and their ages ranged from 12 to 38years (median, 18.5yr). The follow-up period ranged from 24 to 48months (mean, 32.5months). Intraoperative MIOs ranged from 38 to 52mm (mean, 45.7mm). Postoperative MIOs exhibited a minor decrease in mouth opening (mean, 43.5mm). The outcome MIOs ranged from 35 to 55mm (mean, 43.5mm). Of all patients, 21.4% developed temporary facial nerve paresis (grade II). The results of the present study suggest that this surgical protocol is effective in the treatment of the TMJ ankylosis and the prevention of re-ankylosis.

Functional Outcomes of the Aptis-Scheker Distal Radioulnar Joint Replacement in Patients Under 40 Years Old

To study the functional results after Aptis-Scheker distal radioulnar joint (DRUJ) replacement in young patients. We performed a retrospective study selecting all patients under age 40 years, with a clinical and radiological follow-up longer than 2 years, who underwent DRUJ replacement. Patients' charts were reviewed and age at surgery, profession, hobbies, comorbidities, diagnosis, previous procedures, and complications were recorded. Preoperative and postoperative Disabilities of Arm, Shoulder, and Hand and Patient-Rated Wrist Evaluation scores, visual analog scale score, grip strength, lifting capacity, and wrist range of motion were recorded. Functional results and characteristics of the patients were correlated with linear regression. A Kaplan-Meier curve was plotted. We performed 46 arthroplasties. Average patient age was 32 years. Forty-one arthroplasties were performed for pain and 5 for pain and instability. Average follow-up was 61 months. Thirty-seven patients underwent multiple procedures before DRUJ replacement (1.7 ± 1.2 procedures). Extensor carpi ulnaris release with implant coverage using a local adipofascial flap (5) or dermal-fat graft (4) was the most common procedure performed after implantation of the prosthesis. Thirty surgeries were undertaken to address complications after DRUJ replacement in 15 wrists. A total of 36 procedures not related to DRUJ replacement were performed in 15 wrists after the arthroplasty. Grip, lifting, Disabilities of Arm, Shoulder, and Hand and Patient-Rated Wrist Evaluation scores, visual analog scale score, and supination showed statistically significant improvement after surgery. Functional results were comparable in patients who received the implant with either a standard or extended stem. Patient age and number of the previous procedures did not correlate with functional results. The 5-year survival of the implant was 96%. In this group of young patients, the implant improved the functional status of the extremity. The most frequent complication was extensor carpi ulnaris tendonitis, which was addressed by interposition of an adipofascial flap. Therapeutic IV.

Chronic anophthalmic socket pain treated by implant removal and dermis fat graft

AimsTo report the outcome of orbital implant removal and dermis fat graft (DFG) implantation in patients with chronic anophthalmic socket pain (ASP), in whom all detectable causes of pain had...

Indications and results in anophthalmic socket reconstruction using dermis-fat graft.

ObjectivesTo present the indications for a dermis-fat graft in anophthalmic socket reconstruction and evaluate the results of this procedure.DesignRetrospective review, interventional case series.MethodsIn our study, there were 41 patients who received either primary or secondary dermis-fat graft between August 1, 2007 and July 31, 2012 at Songklanagarind Hospital.ResultsThe type of dermis-fat graft used in our study consisted of both primary dermis-fat grafts (6/41) and secondary dermis-fat grafts (35/41). The major indications for dermis-fat graft were exposure (13/41), extrusion (11/41), and volume insufficiency with a shallow fornix (10/41), which accounted for 82.9% of the total cases. A total of 30 patients were able to wear the eye prosthesis over a mean follow-up time of 32.3±19.0 months. The success rate of the dermis-fat graft alone was 73.3%, while that of the simultaneous dermis-fat graft and mucous-membrane graft was 25%.ConclusionThe most common indications for a dermis-fat graft were extrusion and large exposure. Dermis-fat graft is an alternative implant type in complicated enucleation/evisceration patients, which has a good success rate.

Orbital Dermis-Fat Graft Transplantation: Results in Primary and Secondary Implantation

Orbital Dermis-Fat Graft Transplantation: Results in Primary and Secondary Implantation

Immediate breast volume replacement using a free dermal fat graft after breast cancer surgery: multi-institutional joint research of short-term outcomes in 262 Japanese patients.

Immediate volume replacement using a free dermal fat graft (FDFG) has been proven safe with early postoperative benefits. The aims of the present study were to clarify adequate indications and risk factors associated with operative morbidity. A multi-institutional analysis of partial mastectomy with immediate volume replacement with FDFG was undertaken in 14 hospitals specializing in breast cancer treatment. Clinical and oncological variables were analyzed to identify factors associated with postoperative complications. A total of 262 cases were analyzed. Considering the observation period and overlap of patients, 13 (5.4%) out of 242 patients had complications within 1 month of surgery while 7 (4.6%) out of 151 patients developed complications 1-12 months after surgery. Two hundred and eleven out of 242 patients were statistically examined using a multivariate analysis, which revealed that the weight of resected breast tissue, size of implanted FDFG (cranio-caudal length), and weight of implanted FDFG were associated with a higher likelihood of postoperative complications. Immediate breast volume replacement using a FDFG after breast cancer surgery should be done for selected patients with breast cancer to avoid postoperative complications. The prospective and larger investigations are warranted for the establishment of appropriate guidelines.

Commentary on: Long-term follow-up of cadaveric breast augmentation: what can we learn?

This article on long-term follow-up of cadaveric breast augmentation is admirable, for the authors not only report their observations on an interesting and (to me) hitherto unknown procedure, but also take the next step in the spirit of the surgeon-scientist in postulating a hypothesis and posing research questions arising from their observations.1 Macroscopic autologous fat grafts, more commonly dermis-fat grafts, were the standard method of soft tissue filler from early times, and although high failure rates were doubtless anticipated, compared to the complex multi-staged tube pedicle migration and its associated scarring and morbidity, the free graft seems to have been a reasonable reconstructive option. Free microsurgical one-stage transfers wrote the death knell for large-segment free-fat grafting. Knowing that autografts fared poorly and that immune rejection could only worsen the anticipated survival rates, allografts of non-vascularized whole fat pieces seem optimistic. The authors trace the main practitioners of the procedure to Russia and Eastern Europe, where there was perhaps less structured training and less scrutiny at that time. Naive painters were similarly ignorant of the rigid tenets of the academy, but under such freedom original ideas take flight, some with a core of genius. The authors have sought to unravel the question: was this procedure naive, foolish, or genius? From the clinical photographs 15 years post-transplantation, it appears that a large amount of tissue has been retained bilaterally, irrespective of its complications, perhaps more than might have been expected even with an autograft, …

Dimensional Changes of the Upper Lip Using Dermis Fat Graft for Lip Augmentation

Lip augmentation is a facial cosmetic procedure used to augment a thin upper lip or correct a lip deficiency. The aim of this study was to evaluate dimensional changes 12 months after dermis fat grafting along the centerpiece of the upper lip. In this prospective cohort study, a strip dermis fat graft was harvested from various sites, namely the presacral, pre-abdominal, and suprapubic regions, and used for augmentation of the upper lip. Then, it was placed in a pocket prepared in the center of the upper lip near the border between the wet and dry areas using a cannula. Upper lip vermilion show and lip projection were evaluated before and 12 months after augmentation using preoperative and postoperative photographs and digital imaging software. Age and gender were variable factors of the study. Changes of vermilion show and lip projection were considered outcomes of the study. Paired t test was used to compare vermilion show and lip projection before and 12 months after grafting. Fifteen patients were studied. No serious complication arose during the study and all patients were satisfied. The mean change for vermilion show was 1.73 ± 0.74 mm and that for lip projection was 2.33 ± 0.68 mm. Quantitative analysis showed that vermilion show and projection of the upper lip improved significantly (P < .001). Augmentation of the lip with dermis fat grafting can be a safe and reliable method to treat thin lips.

Worldwide enucleation techniques and materials for treatment of retinoblastoma: an international survey.

PurposeTo investigate the current practice of enucleation with or without orbital implant for retinoblastoma in countries across the world.MethodsA digital survey identifying operation techniques and material used for orbital implants after enucleation in patients with retinoblastoma.ResultsWe received a response of 58 surgeons in 32 different countries. A primary artificial implant is routinely inserted by 42 (72.4%) surgeons. Ten (17.2%) surgeons leave the socket empty, three (5.2%) decide per case. Other surgeons insert a dermis fat graft as a standard primary implant (n=1), or fill the socket in a standard secondary procedure (n=2; one uses dermis fat grafts and one artificial implants). The choice for porous implants was more frequent than for non-porous implants: 27 (58.7%) and 15 (32.6%), respectively. Both porous and non-porous implant types are used by 4 (8.7%) surgeons. Twenty-five surgeons (54.3%) insert bare implants, 11 (23.9%) use separate wrappings, eight (17.4%) use implants with prefab wrapping and two insert implants with and without wrapping depending on type of implant. Attachment of the muscles to the wrapping or implant (at various locations) is done by 31 (53.4%) surgeons. Eleven (19.0%) use a myoconjunctival technique, nine (15.5%) suture the muscles to each other and seven (12.1%) do not reattach the muscles. Measures to improve volume are implant exchange at an older age (n=4), the use of Restylane SQ (n=1) and osmotic expanders (n=1). Pegging is done by two surgeons.ConclusionNo (worldwide) consensus exists about the use of material and techniques for enucleation for the treatment of retinoblastoma. Considerations for the use of different techniques are discussed.

Dermis fat graft implantation after unilateral enucleation for retinoblastoma in pediatric patients.

To evaluate the efficacy of dermis fat graft (DFG) as a primary implant technique in pediatric patients requiring unilateral enucleation due to retinoblastoma. A retrospective chart review of 14 consecutive pediatric patients who underwent dermis fat graft implantation after unilateral enucleation for retinoblastoma by 1 surgeon (E.A.S.) was performed to evaluate graft efficacy with regard to orbital volume growth and any associated morbidity. Patients who received chemotherapy or external beam radiation were excluded. Demographic information was recorded. Serial MRIs were used to measure orbital volumes to compare the surgical and contralateral orbits over time. The main outcome measure was the difference in bony orbital volume between enucleated and contralateral, uninvolved orbits. Mann-Whitney U test was used to compare orbital volume measurements between surgical and nonsurgical orbits. Correlation testing was performed to determine the effect of age, sex, and follow-up time on the orbital volume changes. There was no statistical difference between the MRI volume measured for surgical and nonsurgical orbits over time. This was the case at all measured time points and for all ages and genders. All patients were under the age of 4 years at the time of surgery. The median difference in orbital volumes between surgical and nonsurgical orbits was -0.095 cm (range -1.26 to 1.01 cm; quartiles -0.32 to 0.07 cm; mean ± SD, -0.144 ± 0.0522 cm; 95% confidence interval, -0.247 to -0.0419 cm). The median follow-up time from surgery date to the most recent clinical examination was 38.5 months (range, 13 to 70 months; quartiles, 28.75 to 45.5 months; mean ± standard deviation [SD], 38.43 ± 17.21 months; 95% confidence interval, 29.41 to 47.45 months). In pediatric patients below 4 years of age with unilateral retinoblastoma treated with enucleation and primary dermis fat graft implantation, there was no statistically significant difference in bony orbital volume between the surgical and nonsurgical orbits during the follow-up period.

Dermis-fat grafts and enucleation in Ghanaian children: 5 years' experience.

Enucleation in young children often results in retarded orbital growth ipsilaterally. The need for an implant that will naturally grow with the child, like Dermis-fat Graft (DFG), for managing the anophthalmia has been of interest over the years. To evaluate the use of DFG as an implant for volume replacement post-enucleation. A prospective non-comparative case series involving 18 consecutive children who had DFG either primarily or secondarily in conjunction with enucleation for intraocular pathologies, from December 2007 to September 2012, at the ophthalmology unit, Korle-Bu. Data from patients who had a minimum of three months follow up(FUP) were analysed. Complete covering of DFG with healthy conjunctiva, increase in volume of DFG, and presence or absence of complications. Fifteen patients were analysed, aged nine months to ten years (mean (SD), 3.7±2.7years). Eight (53.3%) were females. Thirteen (86.7%) DFGs were secondary and 2(13.3%) primary. Indications for enucleation were intraocular retinoblastoma (n=10, 66.7%), unexplained retinal detachment mimicking retinoblastoma (n=3,20.0%), anterior staphyloma (n=1,6.7%) and medulloepithelioma (n=1,6.7%). Fourteen (93.3%) patients showed increase in volume of DFG. Time for Conjunctival reepithelialisation of the dermal surface was four to fourteen weeks (mean/median=5.5/4.0). Complications encountered were infection (n=1,6.7%), infection with necrosis (n=1,6.7%), melanosis /keratinization (n=2, 13.3%) and cysts(n=2,13.3%). The patients were followed up for 3 to 54 months (mean/median 20.13 /16.00). DFG for management of post-enucleation anophthalmia in Ghanaian children showed 93.3% success.