Free flaps in orbital exenteration: a safe and effective method for reconstruction

被引：0
作者：
Fernando López
Carlos Suárez
Susana Carnero
Clara Martín
Daniel Camporro
José L. Llorente
机构：
[1] Instituto Universitario de Oncología del Principado de Asturias,Department of Otorhinolaryngology, Skull Base Unit
[2] Hospital Universitario Central de Asturias,Department of Plastic Surgery
[3] Hospital Universitario Central de Asturias,undefined
来源：
European Archives of Oto-Rhino-Laryngology | 2013年 / 270卷
关键词：
Orbital exenteration; Sinonasal carcinomas; Reconstructive surgery; Free flaps;
D O I：
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中图分类号：
学科分类号：
摘要：
The aim of this study was to investigate the course of reconstructive treatment and outcomes with use of free flaps after orbital exenteration for malignancy. Charts of patients who had free flap reconstruction after orbital exenteration were retrospectively reviewed and the surgical technique was evaluated. Demographics, histology, surgical management, complications, locoregional control, and survival were analyzed. We performed 22 flaps in 21 patients. Reconstruction was undertaken mainly with anterolateral thigh (56 %), radial forearm (22 %), or parascapular (22 %) free flaps. Complications occurred in 33 % of patients and the flap’s success rate was 91 %. The 5-year locoregional control and survival rates were 42 and 37 %, respectively. Free tissue transfer is a reliable, safe, and effective method for repair of defects of the orbit and periorbital structures resulting from oncologic resection. The anterolateral thigh flap is a versatile option to reconstruct the many orbital defects encountered.
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页码：1947 / 1952
页数：5
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