Repair of large orbito-cutaneous defects by combining two classical flaps.
BACKGROUND
Despite the fact that orbital exenteration is one of the most socially distressing facial operations, it may be necessary, still. The repair of a radically exenterated orbit is a difficult problem for surgeons to resolve.


METHODS
In the Department of Oral and Maxillofacial Surgery, Madrid, nine patients underwent orbital exenteration including simultaneous periorbital tissue resection for invasive orbital and/or periorbital tumours between 1990 and 2000. Primary repair was performed by temporalis myofascial plus facio-cervico-pectoral flaps.


RESULTS
This technique resulted in low morbidity, short period of hospitalization and good facial aesthetics.
Cuesta-Gil
Matias
M
Department of Oral and Maxillofacial Surgery, University General Hospital Gregorio Marañon, Madrid, Spain.
Concejo
Carlos
C
Acero
Julio
J
Navarro-Vila
Carlos
C
Ochandiano
Santiago
S
D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005134:Eye Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009334:Neck Muscles / Q000601:surgery; D009915:Orbit / Q000601:surgery*; D017233:Orbit Evisceration; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation; D013524:Surgical Flaps; D013703:Temporal Muscle / Q000601:surgery