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Repair of large orbito-cutaneous defects by combining two classical flaps
Matias Cuesta-Gil1, Carlos Concejo, Julio Acero
1Department of Oral and Maxillofacial Surgery, University General Hospital Gregorio Marañon, Madrid, Spain.
Summary
Orbital exenteration, a complex facial surgery, can be effectively repaired using temporalis myofascial and facio-cervico-pectoral flaps. This technique offers low morbidity, shorter hospital stays, and improved facial aesthetics for patients with orbital tumors.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Oral and Maxillofacial Surgery
Background:
- Orbital exenteration is a socially distressing but sometimes necessary surgical procedure.
- Reconstruction of the radically exenterated orbit presents significant surgical challenges.
Purpose of the Study:
- To evaluate the efficacy of temporalis myofascial plus facio-cervico-pectoral flaps for orbital exenteration repair.
- To assess outcomes in terms of morbidity, hospitalization, and facial aesthetics.
Main Methods:
- Nine patients with invasive orbital and/or periorbital tumors underwent orbital exenteration with simultaneous periorbital tissue resection.
- Primary orbital reconstruction was performed using combined temporalis myofascial and facio-cervico-pectoral flaps.
Main Results:
- The described flap technique demonstrated low patient morbidity.
- Patients experienced a short period of hospitalization following the procedure.
- Good facial aesthetics were achieved post-reconstruction.
Conclusions:
- Temporalis myofascial plus facio-cervico-pectoral flaps provide a viable solution for orbital exenteration repair.
- This reconstructive approach yields favorable functional and aesthetic outcomes.
- The technique minimizes patient distress and recovery time.