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February 1983

Use of Temporal Fascia and Muscle as an Autograft

Author Affiliations

From the Jules Stein Eye Institute and the Department of Ophthalmology, UCLA School of Medicine (Drs Neuhaus and Shorr). Dr Neuhaus is now with the Department of Ophthalmology University of Texas Health Science Center, San Antonio.

Arch Ophthalmol. 1983;101(2):262-264. doi:10.1001/archopht.1983.01040010264017

• A wide variety of materials have been used for reconstruction around the eyelids and orbit, including alloplastic materials, such as polyfilament surgical suture (Supramid), silicone, and Teflon, that have a tendency toward early infection or late extrusion. Preserved homografts, such as sclera or fascia lata, are unlikely to extrude but have variable absorption rates. Autografts have proved over the years to be the best, most reliable, and least reactive material for reconstruction. Our use of temporal fascia and muscule grafts has been quite successful.