Seminars in Plastic Surgery 2019; 33(02): 132-137
DOI: 10.1055/s-0039-1685479
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Prosthetic Reconstruction of Orbital Defects

Aurora Vincent
1  Otolaryngology, Head and Neck Surgery, Madigan Army Medical Center, Tacoma, Washington
,
Scott Kohlert
2  Department of Otolaryngology – Head and Neck Surgery, University of Ottawa, Canada
,
Sameep Kadakia
3  Department of Plastic and Reconstructive Surgery, Wright State University, Dayton, Ohio
,
Raja Sawhney
4  Facial Plastics, University of Gainesville, Florida
,
Yadranko Ducic
5  Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
26 April 2019 (online)

Abstract

Orbital and craniomaxillofacial defects, in general, are best approached preoperatively by a multidisciplinary team with a clear reconstructive plan in place. Orbital defects result from a myriad of underlying diseases and injuries, and reconstruction after orbital evisceration, enucleation, or exenteration can pose a challenge to the reconstructive team. Reconstruction of orbital injuries with orbital implants and prostheses can lead to acceptable aesthetic outcomes, and the reconstructive surgeon should be familiar with current orbital implants and prostheses. Herein, the authors review terminology and classifications of orbital defects, different types of orbital implants, advantages and disadvantages of different orbital implant reconstructive options, types of orbital prostheses, and pros and cons of different prosthetic options.