Free Flaps Reconstruction after Orbital Exenteration: A Single Centre Case Series

Rajak, Saul; Figueira, Edwin C.; Forster, Natasha; Greenwell, Timothy; Rees, Guy; Selva, Dinesh; Caplash, Yugesh

doi:10.23937/2378-346x/1410027

Cited by 6 publications

(6 citation statements)

References 19 publications

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“…Their higher mean age may be a reflection of the higher life expectancy in the population they studied. The commonest indication for maxillectomy with OE was malignancy (92.6%) which is in agreement with the findings of previous researchers 2,3,8,9 This study recorded 64.3% (9 cases) on the left and 35.7% on the right. This agreed with Nassab et al 7 ., who had 20 out of 32 cases on the left.…”

Section: Discussionsupporting

confidence: 93%

“…The first recorded exenteration was carried out by Bartische 10 in 1583. Rajak et al, 3 reported 12 cases of maxillectomy with exenteration while the present study recorded 14 cases. Yeatts' 5 classification of orbital exenteration into total and subtotal though popular has a demerit of creating a problem in distinguishing between his subtotal OE from simple enucleation where solely the eyeball is resected.…”

Section: Discussionmentioning

confidence: 41%

“…And the remaining 9 could not be classified because one or both eyelids were spared. Rajak et al 3 ., reported 2 out of 12 cases in which eyelids were spared. This was higher than the 17/45 type IV cases reported by Kesting et al 2 .…”

Section: Discussionmentioning

confidence: 99%

“…Orbital exenteration in patients undergoing maxillectomy can be of curative or palliative benefit for extensive tumours persistently invading the orbit from the maxilla, skin or some infections such as necrotizing fasciitis and fungal infection. 2,3,4,5 Reconstruction of OE defects can be very challenging, especially when associated with maxillectomy defects. The options for reconstruction may include the advancement of local or regional flaps to obliterate defects or the utilization of prosthetics.…”

Section: Introductionmentioning

confidence: 99%

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Extended Orbital Exenteration: Proposal for Modification of Meyer and Zaoli’s Classification

FOMETE¹,

OMEJE²,

AGBARA³

et al. 2022

Nig J Dent Res

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Background: The orbital exenteration classification by Meyer and Zaoli has become popular in the literature as a means whereby clinicians present exenteration procedures. Although Meyer and Zaoli’s classification is adopted in our practice Objective: To propose a modification of Mayer and Zaoli’s classification to accommodate cases of orbital exenteration where one or both eyelids will be spared. Methods: A retrospective study of cases of maxillary tumours treated with maxillectomy and orbital exenteration over a 13 years period (January 2005- December 2017) in a Nigerian tertiary health facility. Results: They were 14 maxillectomies with orbital exenteration out of 91 maxillectomies carried out within the study period. There were more males (71.4%) than females (28.6%) and the age range was between 5 to 72 years (mean of 42.57 years, the median age was 45 years). Based on Meyer and Zaoli’s classification of orbital exenteration, 5 cases were classed as type IV, nine cases, however, could not be classified as they met all other requirements for classification as type IV except for the eyelid preservation which cannot be accounted for in Meyer and Zaoli’s classification Conclusion: Modification of Mayer and Zaoli’s classification to accommodate orbital exenteration cases where one or both eyelids were spared will make it more complete and exhaustive

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 41%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Extended Orbital Exenteration: Proposal for Modification of Meyer and Zaoli’s Classification

FOMETE¹,

OMEJE²,

AGBARA³

et al. 2022

Nig J Dent Res

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show abstract

“…Moreover, various local and regional flaps, such as temporal muscle flaps, 3 frontolateral flaps, 4 galea fascia flaps, 5 cervicofacial rotation-advancement flaps, 6 and temporoparietal fascia flaps, 7 can be used. Finally, distant microvascular grafts, such as rectus abdominis flaps, 8 anterolateral thigh flaps, 9 radial forearm flaps, 10 and latissimus dorsi flaps, 11 can be used.…”

mentioning

confidence: 99%

Reconstruction of Orbital Exenteration Defects with Cross-median Forehead Flaps

Baum,

Al-Bayati,

Mohr

et al. 2024

Facial Plast Surg

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The aim of this study was to examine the role of forehead flaps in the reconstruction of orbital defects after exenteration. Patients undergoing orbital exenteration and reconstruction using median forehead flaps from January 2002 to August 2019 were enrolled in this retrospective study. All the patients were evaluated for wound complications, functional results, and tumor relapse. In total, 105 patients completed the study. Twenty-nine complications in 24 of these patients were assessed. The most common complications were wound dehiscence (11%), partial necrosis of the flap (6%), and bleeding (4%). A major complication occurred in two patients (2%), necessitating surgical correction. Only one patient had a local relapse. Sixty patients received osseointegrated implants, and 58 of them were treated with facial prostheses. The follow-up periods ranged from 6 to 189 months. Thus, forehead flap reconstruction after exenteration is a reliable method with a low complication rate. This technique can be used for primary or secondary reconstruction, and excellent long-term functional results can be achieved. A relapse-oriented follow-up is certainly possible.

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Orbital exenteration: Symptoms, indications, tumour localizations, pathologies, reconstruction, complications and survival

Baum

Schmeling

Eckstein

et al. 2021

Journal of Cranio-Maxillofacial Surgery

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Free Flaps Reconstruction after Orbital Exenteration: A Single Centre Case Series

Cited by 6 publications

References 19 publications

Extended Orbital Exenteration: Proposal for Modification of Meyer and Zaoli’s Classification

Extended Orbital Exenteration: Proposal for Modification of Meyer and Zaoli’s Classification

Reconstruction of Orbital Exenteration Defects with Cross-median Forehead Flaps

Orbital exenteration: Symptoms, indications, tumour localizations, pathologies, reconstruction, complications and survival

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