title: Reconstruction of large orbital exenteration defects after resection of periorbital tumors of advanced stage.
abstract: Orbital exenteration is a devastating procedure because of the social impact and psychological stress put upon the patient. Besides cancer ablative surgery, reconstruction after removal of the tumor constitutes a major problem and the final aesthetic result is quite important. Both obliteration of the orbital cavity and continuation of the epithelial lining are required. Free rectus abdominis muscle and musculocutaneous flaps are versatile flaps which both enable filling the cavity and reconstituting the skin defect with a cutaneous portion or with a skin graft. Both free rectus abdominis muscle and musculocutaneous flaps were used for reconstruction of orbital exenteration defects in 19 patients. All suffered partial maxillectomy as well. The flaps provided satisfactory aesthetic results in all patients.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kartal Dr. Lütfü Kirdar Education And Research Hospital, Istanbul, Turkey.
authors.forename: Gaye
authors.initials: G
authors.lastname: Taylan
authors.forename: Serkan
authors.initials: S
authors.lastname: Yildirim
authors.forename: Tayfun
authors.initials: T
authors.lastname: Aköz
mesh_terms: D000328:Adult; D000368:Aged; D002280:Basal Cell Carcinoma / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D003230:Conjunctival Neoplasms / Q000601:surgery; D005134:Eye Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D005142:Eyelid Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000601:surgery; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008875:Middle Aged; D009918:Orbital Neoplasms / Q000601:surgery; D018714:Radiotherapy, Adjuvant; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps