Soft Tissue Microvascular Reconstruction of Orbital Exenteration Defects

Arvind Badhey, Yarah Haidar, Eric Genden

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

The main goal of head and neck reconstruction is the restoration of form and function. Oncologic surgery makes this process more complex, as the preplanned defect can be very different from its intraoperative counterpart. This emphasizes the role of preoperative planning and a diverse reconstructive tool box that can accommodate a variety of complicated defects. The other reconstructive goals are determined by the patient with the aid of an interdisciplinary team. While multiple local and regional reconstructive options are available, free tissue transfer provides a versatile and reliable option for reconstruction-especially for complex orbital defects. Here the authors discuss free soft tissue transfer options for orbital exenteration. This review will catalog the advantages and disadvantages of the radial forearm, rectus abdominis, latissimus, and anterolateral thigh.

Original languageEnglish
Pages (from-to)125-131
Number of pages7
JournalSeminars in Plastic Surgery
Volume33
Issue number2
DOIs
StatePublished - 2019

Keywords

  • free tissue transfer
  • head and neck reconstruction
  • orbital exenteration
  • orbital reconstruction
  • soft tissue reconstruction

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