Risk Factors Associated With Repair of Orbital and Lateral Skull Defects

Serrano, N.; Trenité, Gilean N.; Yueh, Bevan; Farwell, D. Gregory; Futran, Neal D.; Méndez, Eduardo

doi:10.1001/archfacial.2011.1301

Cited by 7 publications

(1 citation statement)

References 25 publications

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“…However, recurrence can be diagnosed early when the cavity is exposed for secondary reconstruction. The average healing time is 14 weeks, but healing can take up to 6 months [ 12 ]. Some case series have found a high rate of sino-orbital fistulas following spontaneous granulation of exenterated orbital cavities (17/25 cases) [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of the Orbit With a Temporalis Muscle Flap After Orbital Exenteration

Uyar

Kumral

Yıldırım

et al. 2015

Clin Exp Otorhinolaryngol

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ObjectivesThis study presents the role of the temporalis muscle flap in primary reconstruction after orbital exenteration.MethodsA retrospective nonrandomized study of orbital exenterations performed between 1990 and 2010 for malignant tumors of the skin, paranasal sinus, and nasal cavity is presented.ResultsThe study included 13 patients (nine men, four women; age range, 30-82 years) with paranasal sinus, nasal cavity, or skin carcinomas. Primary reconstruction of the cavity was performed in all patients after orbital exenteration. No visible defects in the muscle flap donor site were present. Local recurrences were readily followed up with nasal endoscopy, whereas radiology helped to diagnose intracranial involvement in three patients. Two patients died of systemic metastases and five died for other reasonsConclusionThe temporalis muscle flap is readily used to close the defect after orbital exenteration, and does not prevent the detection of recurrence.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of the Orbit With a Temporalis Muscle Flap After Orbital Exenteration

Uyar

Kumral

Yıldırım

et al. 2015

Clin Exp Otorhinolaryngol

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Postoperative cerebrospinal fluid leak after microvascular reconstruction of craniofacial defects with orbital exenteration

et al. 2016

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Considerations in Orbital Exenteration

Sokoya

Cohn

Kohlert

et al. 2019

Seminars in Plastic Surgery

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Orbital exenteration (OE) is a radical operation associated with significant psychosocial disability and functional impairment. Indications for OE include primary tumors of the eye, oral cavity, paranasal sinuses, skin, and brain. Careful consideration regarding the likelihood of local control and cure is needed before proceeding with this operation. Multidisciplinary work-up should be performed before proceeding with surgery. The method of reconstruction after OE should be tailored to the defect and the postoperative needs of the patient. Appropriate follow-up and rehabilitation should be arranged for the patient.

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Risk Factors Associated With Repair of Orbital and Lateral Skull Defects

Abstract: Reconstruction of the orbital cavity and lateral skull base can be challenging, especially if there is a history of radiation therapy and intracranial involvement. Free tissue transfer is a safe and effective method for reconstruction of such defects.

Cited by 7 publications

References 25 publications

Reconstruction of the Orbit With a Temporalis Muscle Flap After Orbital Exenteration

Reconstruction of the Orbit With a Temporalis Muscle Flap After Orbital Exenteration

Postoperative cerebrospinal fluid leak after microvascular reconstruction of craniofacial defects with orbital exenteration

Considerations in Orbital Exenteration

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