Reconstruction of the floor of the orbit following subtotal maxillectomy by transposition of the septal wall as a local flap.
The use of the septal wall for restoring defects of the orbital floor following subtotal maxillectomy is described. In our experience this method provides: A viable, easily adaptable, mainly bony wall (perpendicular plate and vomer) that allows the surgeon to adjust the displaced eyeball. The possibility of re-adjustment of a secondarily sunken eyeball, with loss of binocular vision, by means of a Silastic implant, the transposed septal wall offering sufficient resistance. A substantial contribution to the hygiene of the resection cavity by introducing an actively secreting mucous membrane as part of the lining. In addition a modification of the Fergusson-Weber incision is described.
D005260:Female; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery; D008444:Maxillary Sinus Neoplasms / Q000601:surgery*; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D010212:Papilloma / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*; D014786:Vision Disorders / Q000517:prevention & control