Elective osteotomies and bone grafting of irradiated midfacial bones

Elective osteotomies of post-irradiated midfacial bones to correct the resulting facial deformities can be safely performed. When there is an associated radiation-induced enophthalmos, improvement in appearance can be achieved, but the results often falls short of an ideal restoration. Transposing a temporalis flap into the orbit is an excellent means of freeing the irradiated, contracted, enucleated orbital socket.