Orbital stabilisation with suprabrow myofascial transposition flaps

• Published in: HNO 2005-04, Vol.53 (4), p.346-353
• Main Authors: Grundmann, T, Schaudig, U
• Format: Article
• Language: ger
• Subjects: Facial Muscles - transplantation; Fascia - transplantation; Female; Humans; Middle Aged; Ophthalmologic Surgical Procedures - instrumentation; Ophthalmologic Surgical Procedures - methods; Reconstructive Surgical Procedures - instrumentation; Reconstructive Surgical Procedures - methods; Surgical Flaps; Treatment Outcome
• ISSN: 0017-6192
• DOI: 10.1007/s00106-004-1158-1

Common reasons for orbital defects are midfacial traumas or defects following tumor resection within the sinu-orbital region. In these cases, reconstruction of the medial or inferior orbital wall often is required. Common materials for orbital reconstruction, such as titanium-mesh, are used where epithelialisation problems are frequently encountered. Three patients with extended resection of malignomas of the medial and inferior orbit wall were reconstructed with a myofascial transposition flap from the suprabrow region. Orbital tumor infiltration was present in 11 of the 54 patients treated from 1997 to 2003 for tumors of the nasal region. In three cases, tumor extension to the medial and caudal orbital wall required extensive tissue resection, including the periorbit. In these cases, we created a new horizontal fascial flap from the suprabrow-region which stabilized the bulbus by fixation to the lateral maxilla. Follow-up 12 months after surgery showed good epithelialisation of the reconstructed region without functional deficits. This previously undescribed fascial suprabrow-flap constitutes a valuable method in the reconstruction of large combined defects of the medial and caudal orbit wall profiting particularly from the autologous material used.