Reconstruction of orbital floor and maxilla with divided vascularised calvarial bone flap in one session

Bilen, Bilge Türk; Kılınç, Hıdır; Aslan, Serkan; Tenekeci, Göktekin

doi:10.1016/j.bjps.2005.12.048

Cited by 21 publications

(8 citation statements)

References 24 publications

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“…The goals in reconstructing maxillectomy defects are to prevent functional impairment, provide support for orbital content, restore the separation of oral and nasal cavities, reconstruct the palatal surface, and achieve facial symmetry with good esthetic results. The priority among these is the orbital support, because an inadequately supported globe can be associated with significant morbidity of enophthalmos, global ptosis, diplopia, and ectropion . Various techniques have been described to support the orbit.…”

Section: Discussionmentioning

confidence: 99%

“…The choice of method is decided by various factors such as amount, location, and quality of residual hard and soft tissue of the midface, as well as the postoperative function. These include use of free bone grafts covered by a soft tissue flap, titanium mesh covered by a soft tissue flap, pedicled vascularized bone, and free vascularized flaps …”

Section: Introductionmentioning

confidence: 99%

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Usefulness of the anterolateral thigh flap with vascularized fascia lata for reconstruction of orbital floor and nasal surface after total maxillectomy

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Usefulness of the anterolateral thigh flap with vascularized fascia lata for reconstruction of orbital floor and nasal surface after total maxillectomy

et al. 2013

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“…Billen [8] used a similar technique, with the only difference that he did not divide the fascia between the two bone fragments. Considering the difficulty of reconstructing the malar bone and the orbit floor at the same time by using a single facial fragment, we divided the fascia to allow a precise reconstruction of the orbit.…”

Section: Discussionmentioning

confidence: 99%

A New Approach to Aesthetic Maxillofacial Surgery

Costan¹,

Popescu²,

Stratulat³

2013

Journal of Craniofacial Surgery

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“…Bilen et al . [42] described a superficial temporal artery (STA) and vein based calvarial bone flaps using its outer table. Without disrupting the integrity of fascia and periosteum, the bone was separated into two segments.…”

Section: Reconstructive Methodsmentioning

confidence: 99%

Maxillary reconstruction: Current concepts and controversies

Iyer¹,

Thankappan²

2014

Indian J Plast Surg

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Maxillary reconstruction is still an evolving art when compared to the reconstruction of the mandible. The defects of maxilla apart from affecting the functions of the speech, swallowing and mastication also cause cosmetic disfigurement. Rehabilitation of the form and function in patients with maxillary defects is either by using an obturator prosthesis or by a surgical reconstruction. Literature is abundant with a variety of reconstructive methods. The classification systems are also varied, with no universal acceptance of any one of them. The oncologic safety of these procedures is still debated, and conclusive evidence in this regard has not emerged yet. Management of the orbit is also not yet addressed properly. Tissue engineering, that has been hyped to be one of the possible solutions for this vexing reconstructive problem, has not come out with reliable and reproducible results so far. This review article discusses the rationale and oncological safety of the reconstructing the maxillary defects, critically analyzes the classification systems, offers the different reconstructive methods and touches upon the controversies in this subject. The management of the retained and exenterated orbit associated with maxillectomy is reviewed. The surgical morbidity, complications and the recent advances in this field are also looked into. An algorithm, based on our experience, is presented.

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Reconstruction of orbital floor and maxilla with divided vascularised calvarial bone flap in one session

Cited by 21 publications

References 24 publications

Usefulness of the anterolateral thigh flap with vascularized fascia lata for reconstruction of orbital floor and nasal surface after total maxillectomy

Usefulness of the anterolateral thigh flap with vascularized fascia lata for reconstruction of orbital floor and nasal surface after total maxillectomy

A New Approach to Aesthetic Maxillofacial Surgery

Maxillary reconstruction: Current concepts and controversies

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