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Title: Reconstruction after orbital exenteration using gracilis muscle free flap
Authors: Fabio Nicoli
Ram M. Chilgar
Stamatis Sapountzis
Matthew Sze Wei Yeo
Davide Lazzeri
Pedro Ciudad
Kidakorn Kiranantawat
Tolga Taha Sönmez
Michele Maruccia
Seong Yoon Lim
Joannis Constantinides
Hung Chi Chen
China Medical University Hospital Taichung
Universita degli Studi di Roma Tor Vergata
Maharashtra University of Health Sciences
Villa Salaria Clinic
Mahidol University
Medizinische Fakultat und Universitats Klinikum Aachen
Guy's and St Thomas' NHS Foundation Trust
Keywords: Medicine
Issue Date: 1-Mar-2015
Citation: Microsurgery. Vol.35, No.3 (2015), 169-176
Abstract: © 2014 Wiley Periodicals, Inc. Background Orbital exenteration (OE) is a disfiguring procedure, which typically includes the removal of the entire eyeball including the globe, extraocular muscles, and periorbital soft tissues after malignancies excision or trauma. Several methods of orbital reconstruction have been attempted with varying success. In this report, we analyze results of the use of gracilis muscle free flap for reconstruction of OE defects and its feasibility for prosthetic rehabilitation. Methods Nine consecutive patients treated at the China Medical University Hospital of Taichung during January 2009 to January 2013, who had gracilis free flap reconstruction after OEs, were retrospectively reviewed. Cancer in six patients and trauma in remaining three patients was the cause for OE. Results Nine patients who underwent reconstruction with gracilis free tissue transfer had a successful outcome. There was not any donor or recipient site morbidity; however, one patient was deceased during follow-up period due to metastasis. The mean follow-up period was 23.5 months. Cosmetic results were acceptable both to patients and to surgeons. Conclusions Gracilis free flap to repair OE defects may be a safe alternative for reconstruction. It provides a larger volume of well-vascularized tissue, greater placement flexibility, and minor donor site morbidity without any significant functional deficit.
ISSN: 10982752
Appears in Collections:Scopus 2011-2015

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