[Eye socket reconstruction with free radial forearm flap in anophthalmic orbital syndrome and contracted eye socket].
OBJECTIVE
To assess the effect of eye socket reconstruction with free radial forearm flap.


METHODS
Reconstructive procedures were performed in 7 patients underwent orbital exenteration for malignant tumors and in 9 patients underwent enucleation and postoperative irradiation of the orbit for the treatment of retinoblastoma. These patients were suffered from anophthalmic orbital syndrome and contractive eye socket. A microvascular surgical technique with a free radial forearm flap was adopted. Hydroxyapatite implant was inserted as an intraorbital implantation.


RESULTS
All patients were followed up for 6 months to 5 years and good cosmetic results were obtained. A large eye socket was achieved permanently. Artificial eye could be fitted with satisfactory results.


CONCLUSIONS
Free radial forearm flap transplantation offers a useful option for the treatment of anophthalmic orbital syndrome.
Beijing Tongren Eye Center Affiliated Capital University of Medical Science, Beijing 100710, China. ldmlily@x263.net
Dong-mei
DM
Li
Jing-ming
JM
Liu
Zheng-hong
ZH
Zhu
Chi
C
Mao
Ying
Y
Zhao
D000293:Adolescent; D000328:Adult; D003286:Contracture / Q000601:surgery*; D017886:Durapatite / Q000627:therapeutic use; D005134:Eye Neoplasms / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005542:Forearm / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D017233:Orbit Evisceration; D019651:Plastic Surgery Procedures / Q000379:methods*; D012175:Retinoblastoma / Q000601:surgery; D013524:Surgical Flaps
D017886:Durapatite