Abstract Various materials have been used to replace lost anatomic parts and for the repair of deformities. In 1953 Scales1 outlined the properties of an ideal soft-tissue substitute. These properties are as follows: (1) not physically modified by tissue fluid, (2) chemically inert, (3) no inflammatory reaction, (4) nonallergenic, (5) noncarcinogenic, (6) capable of resisting mechanical strains, (7) capable of being sterilized, (8) capable of fabrication into any form. The list of such soft-tissue substitutes is a long one. In ophthalmology such materials have ranged from heavy metals to glass and plastic. Sponge implants have been used in enucleation and evisceration, solid silicone rubber in retinal detachment surgery, and polyethylene and silicone tubing in the repair of the lacrimal drainage system. Teflon has been used to repair orbital floor defects in "blow-out" fractures. In the case presented here, silicone rubber (Liquid Silastic*) is the soft-tissue substitute. Silicone rubbers (in the References 1. Dow Corning 2. Scales, J.T.: Discussion on Metals and Synthetic Materials in Relation to Soft Tissues: Tissue Reaction to Synthetic Materials , Proc Roy Soc Med 46:647, 1953. 3. Des Prez, J.D.: Paper presented at the Plastic Research Council in Galveston, April 1963. 4. Prentiss, R., et al: Testicular Prostheses: Materials, Methods, and Results , J Urol 90:208-210, 1963. 5. Conway, H., and Goulian, D.: Experience With an Injectable Silastic RTV as a Subcutaneous Prosthetic Material: A Preliminary Report , Plast Reconstr Surg 31:294-302, 1963.Crossref 6. Ellis, R.A., and Coyle, J.J.: Injectable Silastic for Evisceration Surgery , Amer J Ophthal 59:241-243, 1965. 7. Speirs, A.C., and Blocksman, R.: New Implantable Silicone Rubbers: An Experimental Evaluation of Tissue Response , Plast Reconstr Surg 31:166-175, 1963.Crossref
Archives of Ophthalmology – American Medical Association
Published: Dec 1, 1965
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