Reconstruction of the irradiated contracted socket with an expanded superficial temporalis fascial flap.
OBJECTIVE
To describe the reconstruction of an irradiated contracted socket with an expanded superficial temporalis fascial flap and oral mucosa.


METHODS
A superficial temporalis fascial flap was first expanded with tissue expansion techniques and then rotated into the orbit to revascularize the socket. The mucosal surface of the socket was secondarily grafted with buccal and hard palate mucosa.


RESULTS
The expanded superficial temporalis fascial flap was used to revascularize the socket for grafting with hard palate and buccal mucosa. This resulted in the successful retention of an ocular prosthesis.


CONCLUSIONS
The expanded superficial temporalis fascial flap is a useful technique in reconstruction of the contracted socket.
Foster
J A
JA
Division of Ophthalmology, The Cleveland Clinic Foundation, Ohio, USA. fosterj@cesmtp.ccf.org
Castro
E
E
Papay
F A
FA
D002675:Child, Preschool; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D005152:Facial Muscles / Q000601:surgery*; D005260:Female; D006801:Humans; D009061:Mouth Mucosa / Q000637:transplantation; D009801:Oculomotor Muscles / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures; D009915:Orbit / Q000528:radiation effects / Q000601:surgery*; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps