Reconstruction of orbital exenteration defects with bilobed forehead flap

Bilge, Ayşe Dolar; Yazıcı, Bülent; Kasapoğlu, Fikret

doi:10.1007/s10792-016-0210-y

Cited by 9 publications

(9 citation statements)

References 9 publications

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“…10 The forehead is the frequently preferred site for local tissue arrangements for orbital defects. 11 While these techniques are sufficient for covering the defect, they lack filling the 3-dimensional gap. Therefore, shrinkage of the flap or secondary procedures is generally needed to achieve a conic settlement.…”

Section: Discussionmentioning

confidence: 99%

Tumi Flap: A Novel Modification to Frontal Flap for Orbital Exenteration Defects

Ziegler¹,

Özkan

Gamio³

2023

Journal of Craniofacial Surgery

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Orbital exenteration remains a significant disfigurement in the face. Many reconstructive options were reported for one stage covering the defects. Local flaps are used primarily in elderly patients who are not candidates for microvascular procedures. Local flaps generally close the gap without achieving 3-dimensional adjustment perioperatively. Secondary procedures or shrinking by time are needed for better orbital adaptation. In this case report, we describe a novel frontal flap design influenced by a Tumi knife, an ancient Peruvian trepanation instrument. The design helps us to create a conic shape that can resurface the orbital cavity at the time of the operation.

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Section: Discussionmentioning

confidence: 99%

Tumi Flap: A Novel Modification to Frontal Flap for Orbital Exenteration Defects

Ziegler¹,

Özkan

Gamio³

2023

Journal of Craniofacial Surgery

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“…The disadvantage of temporalis muscle flap is a visible hollowness of the temporal area but none of patients had concerns about that [9]. Bilobed forehead flap based on supraorbital and supratrochlear pedicle could be used as a local flap in orbital reconstruction [26]. Some authors describe the use of cervicofacial rotation advancement flap for orbital reconstruction [3].…”

Section: Discussionmentioning

confidence: 99%

Lateral frontal galeal-cutaneous flap for reconstruction after orbital exenteration for advanced periorbital skin cancer

Kovačević¹,

Djordjević-Jocić²,

Radojković³

2021

Turk J Med Sci

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Background/aim: Orbital exenteration is one of the most disfiguring procedures leading to significant deformity. Defect reconstruction is challenging, especially in elderly patients. We have reviewed our experience of orbital exenteration and primary reconstruction with lateral frontal galeal-cutaneous flap based on superficial temporal artery. Materials and methods: Data on patients treated for non-melanoma skin cancer invading the orbit during the 10-year period were analyzed. Patients' demographics, tumor features, reconstructive technique used, complications and survival were recorded with a median follow-up of 27.5 months. Results: 26 patients in whom orbital exenteration was done were included in the study. There were 14 males and 12 females, mean aged 75.29 years (ranged 61-87). The majority of patients were treated for basal cell carcinoma with medial cantus as primary site. All defects were closed by lateral frontal galeal-cutaneous flap based on superficial temporal artery, and in two cases temporalis muscle pedicle flap was used as additional flap for reconstruction of orbital roof in order to separate the brain from empty orbit, and covered with same galeal-cutaneous flap. In 19 cases frontal area was closed primarily, and in 7 cases skin graft was used for secondary defect. There was no flap loss. Tumor related death was registered in three patients (inoperable recurrent tumors) (11.5%), 7 died as tumor unrelated (2 of them were operated from recurrent orbital tumor) and 16 survived. Conclusion: The preferred method for reconstruction after orbital exenteration in our university affiliated center is lateral frontal galeal-cutaneous flap based on superficial 2 temporal artery. The flap harvesting is simple, safe and obtains enough tissue for covering defects even after extended exenteration. Complication rate is low. We suggest the simultaneous use of this flap with pedicle temporalis muscle flap only for reconstruction of scull base after anterior cranial fossa resection.

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“…14 Moreover, it has been successfully applied with reconstructive intention after total orbital exenteration. 15 Interestingly, Bilge et al 16 proposed in 2016 a bilobed forehead flap, harvested both ipsilateral and contralateral to the affected eye in different cases. Likewise, due to the extension of the orbital defects, this technique may not fit in our cases.…”

Section: Discussionmentioning

confidence: 99%

Combination of Mustardè cheek advancement flap and paramedian forehead flap as a reconstructive option in orbital exenteration

Battista

Giordano

Resti

et al. 2020

European Journal of Ophthalmology

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Purpose: To describe a combinatory technique made of Mustardè cheek advancement flap and paramedian forehead flap as a reconstructive option after orbital exenteration. Methods: We retrospectively reviewed all patients who underwent orbital exenteration and subsequent reconstruction with this technique at our Head and Neck Department, Divisions of Ophthalmology and Otolaryngology, at San Raffaele Hospital, Milan, Italy. Results: Three patients were treated with the aforementioned technique, following orbital exenteration due to malignancies. All of them were affected by recurrent diseases arising from the ocular components or periorbital structures: one basal cell carcinoma and two squamous cell carcinomas. Excellent result was achieved considering skin texture and colour match, aesthetic results and intra and post-operative complications (only minor, surgically controlled haemorrhage and minimal dehiscence subsequent to defective healing occurred). Conclusion: The proposed technique can be considered by the head and neck reconstructive surgeon as a good option in extended orbital exenteration.

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Reconstruction of orbital exenteration defects with bilobed forehead flap

Cited by 9 publications

References 9 publications

Tumi Flap: A Novel Modification to Frontal Flap for Orbital Exenteration Defects

Tumi Flap: A Novel Modification to Frontal Flap for Orbital Exenteration Defects

Lateral frontal galeal-cutaneous flap for reconstruction after orbital exenteration for advanced periorbital skin cancer

Combination of Mustardè cheek advancement flap and paramedian forehead flap as a reconstructive option in orbital exenteration

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