Reconstruction of the irradiated contracted socket with an expanded superficial temporalis fascial flap

PURPOSE: To describe the reconstruction of an irradiated contracted socket with an expanded superficial temporalis fascial flap and oral mucosa. METHODS: A superficial temporalis fascial flap was first expanded with tissue expansion techniques and then rotated into the orbit to revascularize the soc...

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Bibliographic Details
Published in:American journal of ophthalmology 1999-05, Vol.127 (5), p.621-622
Main Authors: Foster, Jill A, Castro, Everardo, Papay, Frank A
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child, Preschool
Contracture - etiology
Contracture - surgery
Facial Muscles - surgery
Female
Humans
Medical sciences
Mouth Mucosa - transplantation
Oculomotor Muscles - surgery
Ophthalmologic Surgical Procedures
Orbit - radiation effects
Orbit - surgery
Reconstructive Surgical Procedures
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Surgical Flaps
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Description
Summary:PURPOSE: To describe the reconstruction of an irradiated contracted socket with an expanded superficial temporalis fascial flap and oral mucosa. METHODS: A superficial temporalis fascial flap was first expanded with tissue expansion techniques and then rotated into the orbit to revascularize the socket. The mucosal surface of the socket was secondarily grafted with buccal and hard palate mucosa. RESULTS: The expanded superficial temporalis fascial flap was used to revascularize the socket for grafting with hard palate and buccal mucosa. This resulted in the successful retention of an ocular prosthesis. CONCLUSION: The expanded superficial temporalis fascial flap is a useful technique in reconstruction of the contracted socket.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(98)00429-2