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CC BY 4.0 · Indian J Plast Surg 2025; 58(01): 051-058
DOI: 10.1055/s-0044-1793947
Original Article

The “Opercular” Approach to Orbital Reconstruction after Orbital Exenteration Following Rhino-Orbital-Cerebral Mucormycosis: A Novel Method

Bharatendu Swain 
1   Department of Plastic and Reconstructive Surgery, Aakar Asha Hospital, Hyderabad, Telangana, India
,
A. Shalini Sampreethi 
2   Department of Oral and Maxillofacial Surgery, Aakar Asha Hospital, Hyderabad, Telangana, India
,
Shravya C.
2   Department of Oral and Maxillofacial Surgery, Aakar Asha Hospital, Hyderabad, Telangana, India
› Institutsangaben Funding None.
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Abstract

Background Rhino-orbital cutaneous mucormycosis (ROCM) leading to orbital exenteration can be debilitating functionally as well as psychosocially. Orbital reconstruction following exenteration for mucormycosis has centered on volume filling with local, regional, or free flaps. This case series is built on the original idea of a bilayered operculum at the orbital inlet.

Materials and Methods The opercular approach comprises an inner layer of hinged orbital mucosa and an outer layer of nasofacial flap in most cases, or alternatives, for lining or cover.

Results Eight cases of ROCM treated using the opercular approach are presented with satisfactory results and minimal complication. Four of the eight patients treated by this method remained free of complications after 1year.

Conclusion This technique is simple, does not require microsurgical expertise, and is less time-consuming and less expensive.

Keywords

mucormycosis - rhino-orbital cutaneous mucormycosis - ROCM - orbital exenteration - orbital reconstruction - opercular approach


Publikationsverlauf

Artikel online veröffentlicht:
04. Dezember 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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