Related Experiment Video
Updated: Jul 17, 2026
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
623
Novel flap designs for reconstructing the exenterated orbital cavity - A systematic review
Raffaele Aguglia1, Lucas Ungerer2, Nadia Benmoussa1
1Gustave Roussy, Paris-Saclay University, Department of Head and Neck Surgery, Villejuif, F-94805, France.
Journal of Stomatology, Oral and Maxillofacial Surgery
|September 26, 2025
Summary
Orbital exenteration reconstruction presents challenges due to the orbit's shape. This review synthesizes flap techniques to improve outcomes and patient reintegration after this extensive surgery.
Area of Science:
- Reconstructive surgery
- Anaplastology
- Ophthalmology
Background:
- Orbital exenteration is a disfiguring surgery requiring mandatory reconstruction.
- The unique inverted cone shape of the exenterated orbit complicates surgical repair.
- Close collaboration between surgeons and anaplastologists is crucial for successful patient reintegration.
Purpose of the Study:
- To systematically review innovative flap design strategies for orbital exenteration reconstruction.
- To provide an updated framework for reconstructive surgeons.
- To improve functional and aesthetic outcomes, enhancing patient quality of life.
Main Methods:
- Systematic review following 2020 PRISMA guidelines.
- Protocol pre-registered in PROSPERO (ID: CRD420251149891).
- Selection of 11 studies from PubMed and Google Scholar databases.
Main Results:
- Evaluation of pedicled and free flap techniques including temporalis muscle, galeal, forehead, radial forearm, and lateral circumflex femoral artery flaps.
- Inclusion of 64 patients across selected studies.
- A combined prosthetic rehabilitation rate of 50% was observed.
Conclusions:
- Contemporary flap designs offer promising solutions for orbital exenteration reconstruction.
- Synthesizing novel approaches aids surgeons in planning reconstructions.
- Restoring form and function significantly improves patients' quality of life.
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