Reconstruction of composite orbital defects must address the orbit and an exposed skull base and/or maxillary region. The orbit should not only be covered but also reshaped to accommodate the orbital contents or an epithesis when warranted. This study presents a rationale for a near-anatomical reconstruction of the orbit, together with adjacent dead space obliteration, using the segmentalized osteo-fascia-cutaneous fibula flap. Before the flap transfer, a cutting template for the fibula is made according to the measures and requirements of the facial defect. The segmentalized bone is then osteosynthesized to the facial skeleton and revascularized. Thus, an orbital depth is created by the bony fibula, whereas the fascio-cutaneous part of the flap may be used for lining the orbit and obliteration of the skull base or the maxillary region, or resurface the palate and/or the nasal cavity.

Lundgren T. Kalle, Pignatti Marco, Martin Halle, Boscaini Giulia, Ann-Charlotte Docherty Skogh, Chiarini Luigi, et al. (2016). Composite orbital reconstruction using the vascularized segmentalized osteo-fascio-cutaneous fibula flap. JOURNAL OF PLASTIC, RECONSTRUCTIVE & AESTHETIC SURGERY, 69(2), 255-261 [10.1016/j.bjps.2015.10.012].

Composite orbital reconstruction using the vascularized segmentalized osteo-fascio-cutaneous fibula flap

Pignatti Marco;
2016

Abstract

Reconstruction of composite orbital defects must address the orbit and an exposed skull base and/or maxillary region. The orbit should not only be covered but also reshaped to accommodate the orbital contents or an epithesis when warranted. This study presents a rationale for a near-anatomical reconstruction of the orbit, together with adjacent dead space obliteration, using the segmentalized osteo-fascia-cutaneous fibula flap. Before the flap transfer, a cutting template for the fibula is made according to the measures and requirements of the facial defect. The segmentalized bone is then osteosynthesized to the facial skeleton and revascularized. Thus, an orbital depth is created by the bony fibula, whereas the fascio-cutaneous part of the flap may be used for lining the orbit and obliteration of the skull base or the maxillary region, or resurface the palate and/or the nasal cavity.
2016
Lundgren T. Kalle, Pignatti Marco, Martin Halle, Boscaini Giulia, Ann-Charlotte Docherty Skogh, Chiarini Luigi, et al. (2016). Composite orbital reconstruction using the vascularized segmentalized osteo-fascio-cutaneous fibula flap. JOURNAL OF PLASTIC, RECONSTRUCTIVE & AESTHETIC SURGERY, 69(2), 255-261 [10.1016/j.bjps.2015.10.012].
Lundgren T. Kalle; Pignatti Marco; Martin Halle; Boscaini Giulia; Ann-Charlotte Docherty Skogh; Chiarini Luigi; De Santis Giorgio
File in questo prodotto:
Eventuali allegati, non sono esposti

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/701140
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 1
  • Scopus 4
  • ???jsp.display-item.citation.isi??? 2
social impact