Reconstruction of orbital floor and maxilla with divided vascularised calvarial bone flap in one session

Usefulness of the anterolateral thigh flap with vascularized fascia lata for reconstruction of orbital floor and nasal surface after total maxillectomy

“…The goals in reconstructing maxillectomy defects are to prevent functional impairment, provide support for orbital content, restore the separation of oral and nasal cavities, reconstruct the palatal surface, and achieve facial symmetry with good esthetic results. The priority among these is the orbital support, because an inadequately supported globe can be associated with significant morbidity of enophthalmos, global ptosis, diplopia, and ectropion . Various techniques have been described to support the orbit.…”

“…The choice of method is decided by various factors such as amount, location, and quality of residual hard and soft tissue of the midface, as well as the postoperative function. These include use of free bone grafts covered by a soft tissue flap, titanium mesh covered by a soft tissue flap, pedicled vascularized bone, and free vascularized flaps …”

A New Approach to Aesthetic Maxillofacial Surgery

“…Billen [8] used a similar technique, with the only difference that he did not divide the fascia between the two bone fragments. Considering the difficulty of reconstructing the malar bone and the orbit floor at the same time by using a single facial fragment, we divided the fascia to allow a precise reconstruction of the orbit.…”

Maxillary reconstruction: Current concepts and controversies

“…Bilen et al . [42] described a superficial temporal artery (STA) and vein based calvarial bone flaps using its outer table. Without disrupting the integrity of fascia and periosteum, the bone was separated into two segments.…”