[Synthetic plastic surgery for hemilateral facial deformity after retinoblastoma operation].
OBJECTIVE
To evaluate the effect of correcting complex deformity of the orbital region and contraction of the eye socket that caused by enucleation and postoperative irradiation for the treatment of retinoblastoma.


METHODS
Depressive deformity of the orbitozygoma was corrected, and a large permanent eye socket was achieved in two-stage operation. First-stage surgery: Orbitozygomatic deformity reconstruction with hydroxyapatite (HA) and a temporoparietal fascial flap and a HA implant for correction of anophthalmos. Second-stage: Free radial forearm flap was adopted for eye socket reconstruction.


RESULTS
Excellent cosmetic results of this method in 8 cases were demonstrated.


CONCLUSIONS
This method is effective for management of complex deformities of orbitozygoma and contraction of eye socket.
Li
Dongmei
D
Beijing Tongren Ophthalmologic Center, Capital University of Medical Sciences, Beijing 100730, China. ldmlily@263.net
Liu
Jingming
J
Min
Yan
Y
Zhu
Zhenghong
Z
D000293:Adolescent; D000328:Adult; D001672:Biocompatible Materials / Q000627:therapeutic use; D019465:Craniofacial Abnormalities / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D017886:Durapatite / Q000627:therapeutic use; D005134:Eye Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods*; D012175:Retinoblastoma / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome
D001672:Biocompatible Materials; D017886:Durapatite