Orbital Reconstruction with Free Flaps after Orbital Exenteration.

Lee, Sun Joo; Nam, Do Hyun; Baek, Chung Hwan; Ha, Bom Joon; Kim, Yoon Duck

Original Article

Journal of the Korean Ophthalmological Society 2003;44(3):542-549.
Published online March 1, 2003.

Orbital Reconstruction with Free Flaps after Orbital Exenteration.

Sun Joo Lee, Do Hyun Nam, Chung Hwan Baek, Bom Joon Ha, Yoon Duck Kim

¹Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University, College of Medicine, Seoul, Korea. ydkim@smc.samsung.co.kr
²Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University, College of Medicine, Seoul, Korea.
³Department of Otorhinolaryngology, Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University, College of Medicine, Seoul, Korea.
⁴Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University, College of Medicine, Seoul, Korea.

안와내용제거술 후 유리피판을 이용한 안와재건술

이선주 ( Sun Joo Lee ) , 남도현 ( Do Hyun Nam ) , 백정환 ( Chung Hwan Baek ) , 하범준 ( Bom Joon Ha ) , 김윤덕 ( Yoon Duck Kim )

Abstract

PURPOSE
To report the results of the orbital reconstruction with microvascular free flap following orbital exenteration in patients with orbital malignancy. METHODS: We performed microvascular free-tissue reconstruction for extensive orbital defects immediately after exenteration in 6 patients. RESULTS: The causes for exenteration were adenocystic carcinoma of the lacrimal gland (2), squamous cell carcinoma of the upper eyelid (1), the nasolacrimal duct (1), maxillary sinus (1), and the ethmoid sinus (1). The extensive orbital defects were reconstructed with the rectus abdominis flaps in 3 patients, with the radial forearm flaps in two, and with the scapular flap in one patient. There was no flap loss. There was no donor site complication. CONCLUSIONS: Microvascular free-tissue transfer allowed successful facial reconstruction in patients with extensive orbital and periorbital defects. It seemed to permit reliable, expeditious, one-stage reconstruction of the orbital defects.

Key Words: Free flap;Orbital exenteration;Reconstruction