Publication: Reconstruction after orbital exenteration using gracilis muscle free flap
Issued Date
2015-03-01
Resource Type
ISSN
10982752
07381085
07381085
Other identifier(s)
2-s2.0-84925459677
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Mahidol University
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SCOPUS
Bibliographic Citation
Microsurgery. Vol.35, No.3 (2015), 169-176
Suggested Citation
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 Reconstruction after orbital exenteration using gracilis muscle free flap. Microsurgery. Vol.35, No.3 (2015), 169-176. doi:10.1002/micr.22339 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/36503
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Title
Reconstruction after orbital exenteration using gracilis muscle free flap
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.