Related Experiment Video
Updated: Jan 25, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
641
Soft Tissue Microvascular Reconstruction of Orbital Exenteration Defects
Arvind Badhey1, Yarah Haidar1, Eric Genden1
1Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, NY.
Seminars in Plastic Surgery
|May 1, 2019
Summary
Head and neck reconstruction aims to restore form and function after oncologic surgery. Free tissue transfer is a versatile option for complex orbital defects, with this review detailing choices for orbital exenteration.
Area of Science:
- Plastic Surgery
- Oncologic Surgery
- Reconstructive Surgery
Background:
- Head and neck reconstruction prioritizes restoring form and function.
- Oncologic surgery often leads to unpredictable intraoperative defects.
- Preoperative planning and a versatile reconstructive approach are crucial.
Purpose of the Study:
- To review free soft tissue transfer options for orbital exenteration.
- To catalog the advantages and disadvantages of specific free tissue transfer methods.
Main Methods:
- Review of literature on free soft tissue transfer for orbital reconstruction.
- Analysis of reconstructive options including radial forearm, rectus abdominis, latissimus, and anterolateral thigh flaps.
Main Results:
- Free tissue transfer offers a reliable and versatile solution for complex orbital defects.
- Different free flaps present distinct advantages and disadvantages for orbital exenteration reconstruction.
Conclusions:
- Free tissue transfer is a key component in managing complex head and neck defects, particularly after orbital exenteration.
- Understanding the nuances of various free flaps aids in optimizing reconstructive outcomes.
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