title: Reconstruction of a contracted eye socket using an anterofrontal superficial temporal artery island flap and scapha composite grafting in an elderly patient.
abstract: There are numerous methods for reconstruction of the eye socket. However, the use of an island flap on the forehead based on the anterofrontal branch of the superficial temporal artery has not been reported upon. This article describes an experience of eye-socket reconstruction in a 90-year-old woman with an anterofrontal superficial temporal artery island flap, a temporoparietal fascia flap and scapha composite grafting in a one-step procedure. Deep fornices were obtained and the convex eye socket was stably and easily fitted with the ocular prosthesis, which the patient started to wear 4 weeks after the operation. The socket and eyelids are without any deficits and in good condition with a 1-year follow-up.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba 260-8677, Japan. naokoo-cib@umin.ac.jp
authors.forename: Naoko
authors.initials: N
authors.lastname: Omori
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Mitsukawa
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Kubota
authors.forename: Kaneshige
authors.initials: K
authors.lastname: Satoh
mesh_terms: D000369:Aged, 80 and over; D003286:Contracture / Q000601:surgery; D005137:Eye, Artificial; D005205:Fascia / Q000637:transplantation; D005260:Female; D006801:Humans; D009915:Orbit / Q000293:injuries / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D013699:Temporal Arteries / Q000637:transplantation