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J Reconstr Microsurg 2006; 22(8): 583-589
DOI: 10.1055/s-2006-956232
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Reconstruction of Large Orbital Exenteration Defects after Resection of Periorbital Tumors of Advanced Stage

Gaye Taylan1 , Serkan Yildirim1 , Tayfun Aköz1
  • 1Department of Plastic and Reconstructive Surgery, Kartal Dr. Lütfü Kirdar Education And Research Hospital, Istanbul, Turkey
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Publication History

Accepted: April 28, 2006

Publication Date:
30 November 2006 (online)

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ABSTRACT

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.

KEYWORDS

Orbital exenteration - reconstruction - rectus abdominis flap

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Gaye TaylanM.D. 

Gozenc sok. Babadan apt. No: 10, D:11

Erenkoy, Instanbul, Turkey