Orbital Reconstruction with Free Flaps after Orbital Exenteration.
- Author:
Sun Joo LEE
1
;
Do Hyun NAM
;
Chung Hwan BAEK
;
Bom Joon HA
;
Yoon Duck KIM
Author Information
1. Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University, College of Medicine, Seoul, Korea. ydkim@smc.samsung.co.kr
- Publication Type:Original Article
- Keywords:
Free flap;
Orbital exenteration;
Reconstruction
- MeSH:
Carcinoma, Adenoid Cystic;
Carcinoma, Squamous Cell;
Ethmoid Sinus;
Eyelids;
Forearm;
Free Tissue Flaps*;
Humans;
Lacrimal Apparatus;
Maxillary Sinus;
Nasolacrimal Duct;
Orbit*;
Rectus Abdominis;
Tissue Donors
- From:Journal of the Korean Ophthalmological Society
2003;44(3):542-549
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report the results of the orbital reconstruction with microvascular free flap following orbital exenteration in patients with orbital malignancy. METHODS: We performed microvascular free-tissue reconstruction for extensive orbital defects immediately after exenteration in 6 patients. RESULTS: The causes for exenteration were adenocystic carcinoma of the lacrimal gland (2), squamous cell carcinoma of the upper eyelid (1), the nasolacrimal duct (1), maxillary sinus (1), and the ethmoid sinus (1). The extensive orbital defects were reconstructed with the rectus abdominis flaps in 3 patients, with the radial forearm flaps in two, and with the scapular flap in one patient. There was no flap loss. There was no donor site complication. CONCLUSIONS: Microvascular free-tissue transfer allowed successful facial reconstruction in patients with extensive orbital and periorbital defects. It seemed to permit reliable, expeditious, one-stage reconstruction of the orbital defects.
