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Orbital reconstruction.

I P Janecka

    Plastic and Reconstructive Surgery
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Reconstruction of severe orbital deformities using autogenous tissue grafts and custom implants achieved satisfactory symmetry for most patients. This approach offers an acceptable aesthetic outcome for individuals following oncologic surgery and radiation.

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    Area of Science:

    • Plastic Surgery
    • Ophthalmology
    • Oncology

    Background:

    • Severe orbital and orbitomaxillary deformities can result from oncologic surgery and radiation.
    • These deformities significantly impact patient quality of life and aesthetic appearance.

    Purpose of the Study:

    • To evaluate the efficacy of reconstructive techniques for severe orbital deformities.
    • To assess the outcomes of using autogenous tissue and custom implants for orbital and periorbital reconstruction.

    Main Methods:

    • Study included twenty patients with severe orbital and orbitomaxillary deformities.
    • Sixteen patients underwent reconstruction using autogenous skin and dermis grafts anchored to the bony orbit.
    • The periorbital area was augmented with customized implants.

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    Main Results:

    • Complete reconstruction of the orbit and periorbital area was performed in sixteen patients.
    • Most patients achieved satisfactory orbital symmetry.
    • Patients were able to wear prostheses, with or without lightly tinted glasses, for an acceptable aesthetic outcome.

    Conclusions:

    • Autogenous tissue grafts and custom implants provide a viable solution for reconstructing severe orbital and orbitomaxillary deformities.
    • The described reconstructive approach can lead to acceptable orbital symmetry and improved patient aesthetics.
    • This technique offers a satisfactory outcome for patients affected by oncologic treatment sequelae.