Use of a flap of extraocular muscle and fat during subtotal exenteration to repair bony orbital defects.
OBJECTIVE
To describe a technique for the primary repair of bony defects between the orbit and adjacent structures during subtotal exenteration.


METHODS
Interventional case reports.


METHODS
A flap composed of orbital fat supported by an extraocular muscle pedicle was used to fill a defect between the orbit and the nasal cavity in one case, and to buttress a fascia lata graft covering exposed dura mater in one case.


RESULTS
The exenterated socket healed satisfactorily without fistula formation in both cases.


CONCLUSIONS
Primary repair of communications between the orbit and its surrounding cavities may prevent the development of postoperative fistulae or cerebrospinal fluid leakage.
Bartley
George B
GB
Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota 55905, USA. gbartley@mayo.edu
Kasperbauer
Jan L
JL
D000273:Adipose Tissue / Q000637:transplantation*; D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000473:pathology / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery; D005206:Fascia Lata / Q000637:transplantation*; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000601:surgery*; D009915:Orbit / Q000601:surgery*; D017233:Orbit Evisceration; D009918:Orbital Neoplasms / Q000473:pathology / Q000601:surgery; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps