Orbital ExenterationThe Reconstructive Ladder
作者:
Peter Levin,
Don Ellis,
William Stewart,
Bryant Toth,
期刊:
Ophthalmic Plastic and Reconstructive Surgery
(OVID Available online 1991)
卷期:
Volume 7,
issue 2
页码: 84-92
ISSN:0740-9303
年代: 1991
出版商: OVID
关键词: Orbital exenteration;Orbital reconstruction;Orbital surgery;Socket reconstruction
数据来源: OVID
摘要:
Following orbital exenteration, there is a spectrum of immediate and delayed options for orbital reconstruction. Goals of reconstruction after exenteration include detection of recurrent disease, restoration of boundaries between the orbit and surrounding structures, and optimal aesthetics. Local solutions to problems of the exenterated orbit, such as healing by granulation or application of split-thickness skin grafts, are advantageous for detecting recurrent disease. Regional solutions, involving transfer of periorbital tissue into the orbit, may mask recurrent disease and create adjacent deformity; however, these solutions can be used to restore orbital boundaries and shallow the orbital cavity. Distant solutions, such as skin-muscle flaps and free tissue grafts, allow for facial reconstruction in patients with extensive orbital and periorbital defects.
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