title: Reconstruction of orbital exenteration defects with bilobed forehead flap.
abstract: To describe the use of bilobed forehead flap for reconstruction of orbital exenteration defect. The medical records of 2 patients in whom orbital exenteration defect repair was performed with bilobed forehead flap were reviewed. In both patients (male, ages 74 and 65 years), extended exenteration was performed because of basal cell carcinoma infiltrating the upper and lower eyelids and orbit. One patient had a history of multiple eyelid surgeries and periorbital radiotherapy. In the other, the tumor also involved the maxillary and ethmoid sinuses and nasal dorsum. The bilobed flap was combined with a cheek advancement flap in 1 patient. The excisional defect could be primarily covered in both patients. In 1 patient, a skin graft was needed to cover the forehead donor area defect. In both patients, transient, distal flap ischemia developed after surgery and, in 1 patient, eyebrow malposition required surgical correction at the late period. No other complication developed during follow-up (18 and 26 months). The bilobed forehead flap can be effectively used to reconstruct total or extended orbital exenteration defects.
authors.affiliation: Department of Ophthalmology, Uludag University, Bursa, Turkey.
authors.forename: Ayşe Dolar
authors.initials: AD
authors.lastname: Bilge
authors.affiliation: Department of Ophthalmology, Uludag University, Bursa, Turkey. byazici@uludag.edu.tr.
authors.forename: Bulent
authors.initials: B
authors.lastname: Yazici
authors.affiliation: Department of Ear, Nose, and Throat, Uludag University, Bursa, Turkey.
authors.forename: Fikret
authors.initials: F
authors.lastname: Kasapoglu
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000601:surgery*; D005134:Eye Neoplasms / Q000601:surgery*; D005143:Eyelids / Q000601:surgery; D005546:Forehead / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D017233:Orbit Evisceration; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome
keywords: Bilobed flap; Exenteration; Orbit; Reconstruction