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Reconstruction of Extensive Periorbital Defects With Pericranial Flap
Nazim Gümüş1, Zehra Betül Gümüş2
1Department of Plastic, Reconstructive and Aesthetic Surgery, Medical Faculty, Mersin University, Mersin.
The Journal of Craniofacial Surgery
|September 12, 2021
Summary
Reconstructing periorbital defects after tumor removal is challenging. A pericranial flap offers a versatile solution for restoring form and function in complex periorbital reconstructions.
Area of Science:
- Reconstructive surgery
- Ophthalmology
- Oncology
Background:
- Wide excision of recurrent periorbital malignant tumors creates significant composite defects.
- Reconstruction is essential to restore eyelid form and function after tumor removal.
Purpose of the Study:
- To evaluate the efficacy of pericranial flaps in reconstructing large, complex periorbital defects.
- To assess the suitability of pericranial flaps for defects involving the medial canthus and supraorbital rim.
Main Methods:
- The study included 5 patients with recurrent malignant tumors of the medial canthus and supraorbital rim.
- Defects involved eyelids, medial canthal ligaments, nasal walls, periosteum, and medial orbital walls.
- Reconstruction was performed using pericranial flaps, leveraging the medial canthus's natural concavity.
Main Results:
- Pericranial flaps were successfully utilized in reconstructing extensive periorbital defects.
- The technique facilitated restoration of both form and function in the affected areas.
- The natural anatomy of the medial canthus aided flap placement and integration.
Conclusions:
- Pericranial flaps are a versatile and effective option for periorbital defect reconstruction.
- This method provides abundant flap tissue and is a viable alternative to other reconstructive techniques.
- The pericranial flap addresses complex defects involving critical periorbital structures.
