Seminars in Plastic Surgery 2019; 33(02): 125-131
DOI: 10.1055/s-0039-1685480
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Soft Tissue Microvascular Reconstruction of Orbital Exenteration Defects

Arvind Badhey
1  Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, NY
,
Yarah Haidar
1  Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, NY
,
Eric Genden
1  Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, NY
› Author Affiliations
Further Information

Publication History

Publication Date:
26 April 2019 (online)

Abstract

The main goal of head and neck reconstruction is the restoration of form and function. Oncologic surgery makes this process more complex, as the preplanned defect can be very different from its intraoperative counterpart. This emphasizes the role of preoperative planning and a diverse reconstructive “tool box” that can accommodate a variety of complicated defects. The other reconstructive goals are determined by the patient with the aid of an interdisciplinary team. While multiple local and regional reconstructive options are available, free tissue transfer provides a versatile and reliable option for reconstruction—especially for complex orbital defects. Here the authors discuss free soft tissue transfer options for orbital exenteration. This review will catalog the advantages and disadvantages of the radial forearm, rectus abdominis, latissimus, and anterolateral thigh.