Buccal mucous membrane-fat graft in the management of the contracted socket

Ophthalmic Plast Reconstr Surg. 1993 Dec;9(4):267-72. doi: 10.1097/00002341-199312000-00007.


A new surgical technique for reconstructing severely contracted sockets using an autogenous buccal mucous membrane-fat graft is presented. The buccal mucosa provides replacement of deficient conjunctival surface area; the fat in the underlying substantia propria of the buccal mucosa replenishes moderate volume deficiency in a single procedure. A custom-designed conformer is used in the immediate postoperative period to maintain reconstructed vertical fornices. We present four consecutive patients with contracted sockets having both a volume deficit and severe conjunctival contracture who were successfully rehabilitated using this technique.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adipose Tissue / transplantation*
  • Adult
  • Cheek
  • Contracture / surgery*
  • Eye Enucleation
  • Eye, Artificial
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mouth Mucosa / transplantation*
  • Orbit / surgery*
  • Surgery, Plastic / methods