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One-Stage Reconstruction of Eye Socket and Eyelids in Orbital Exenteration Patients

Atabay, Kenan M.D.; Atabay, Çağla M.D., Ph.D.; Yavuzer, Reha M.D.; Demirkan, Ferit M.D.; Latifoğlu, Osman M.D.

Plastic and Reconstructive Surgery: May 1998 - Volume 101 - Issue 6 - p 1463–1470
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Reconstruction of the exenterated orbit is a difficult problem with several advantages and disadvantages. Satisfactory reconstructive results for both the physician and the patient may need multistage operations that are time consuming and disfiguring. A simple and effective onestage technique that combines two regional flaps is described for reconstruction of deformities of orbital exenteration. A temporalis muscle flap is transposed for orbital filling, and a prefabricated frontal island flap based on superficial temporal vessels is used for eye socket and eyelid reconstruction. For patients who oppose living with exenteration deformity and request quicker reconstruction, this new and simple technique may be used successfully. (Plast. Reconstr. Surg. 101: 1463, 1998.)

Ankara, Turkey

Kenan Atabay, M.D.

Gazi Üniversitesi Tip Fakültesi

Plastik ve Rekonstrüktif Cerrahi

Anabilim Dali

Beşevler

Ankara, Turkey

From the Department of Plastic and Reconstructive Surgery at Gazi University. Received for publication February 27, 1997; revised June 18, 1997.

©1998American Society of Plastic Surgeons