Reconstruction of large orbital exenteration defects after resection of periorbital tumors of advanced stage


Taylan G., Yildirim S., AKÖZ T.

Journal of Reconstructive Microsurgery, cilt.22, sa.8, ss.583-589, 2006 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 8
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1055/s-2006-956232
  • Dergi Adı: Journal of Reconstructive Microsurgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.583-589
  • Anahtar Kelimeler: Orbital exenteration, Reconstruction, Rectus abdominis flap
  • Maltepe Üniversitesi Adresli: Hayır

Özet

Orbital exenteration is a devastating procedure because of the social impact and psychological stress put upon the patient. Besides cancer ablative surgery, reconstruction after removal of the tumor constitutes a major problem and the final aesthetic result is quite important. Both obliteration of the orbital cavity and continuation of the epithelial lining are required. Free rectus abdominis muscle and musculocutaneous flaps are versatile flaps which both enable filling the cavity and reconstituting the skin defect with a cutaneous portion or with a skin graft. Both free rectus abdominis muscle and musculocutaneous flaps were used for reconstruction of orbital exenteration defects in 19 patients. All suffered partial maxillectomy as well. The flaps provided satisfactory aesthetic results in all patients. Copyright © 2006 by Thieme Medical Publishers, Inc.