ORBITAL RECONSTRUCTION AFTER EXENTERATION FOR MALIGNANT TUMOURS USING LOCAL FLAPS
Abstract:
Malignant orbital tumours represent 7% (113) out of the total number of malignant tumours
surgically treated in the Oro-Maxillo-Facial Department of the “Lucian Blaga” University of Sibiu, as it
is presented in a retrospective study developed over 10 years (2002-2012). The standard treatment in
these cases is exenteration or extended exenteration in the more advanced forms. The resulting defects
can be treated with local or locoregional flaps, as well as with distant flaps through microsurgery.
Taking into consideration old age, frequency being higher with patients older then 50 years and often
associated with other general comorbidities we have preferred local reconstructions. We will present
these sliding, translating, rotational or pedicled flaps, with correlation to each study case
characteristics, showing the advantages of the local flaps regarding the good results with minor
complications as well as diminishing hospitalization and fast recovery
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