The osteo-chondro-mucous flap of the nasal septum in orbital reconstruction.
This paper describes a technique for orbital infero-medial wall reconstruction after "en bloc" resection of squamous cell carcinomas involving ethmoidal and maxillary sinuses utilizing an osteo-chondro-mucous flap of the nasal septum. This technique seems to be superior for many reasons: rapidity in flap preparation, direct access to the donor area in the resection surgical field, reliabilty due to good vascular supply, major functional and aesthetic results (low risk of diplopia and eyeball displacement). In our opinion, among the orbital reconstruction techniques, the osteo-chondro-mucous flap of the nasal septum can be the preferred reconstructive choice in ethmoid-orbital-maxillectomy with excision of the whole medial and two thirds of the lower orbital walls.
Bozza
F
F
Division of Otorhinolaryngology, Head and Neck Surgery Regina Elena National Cancer Institute, Rome, Italy.
Tauro
F
F
Ruscito
P
P
Ducci
M
M
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009300:Nasal Septum / Q000000981:diagnostic imaging / Q000601:surgery*; D009918:Orbital Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed