Document Detail

Use of a flap of extraocular muscle and fat during subtotal exenteration to repair bony orbital defects.
MedLine Citation:
PMID:  12429269     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe a technique for the primary repair of bony defects between the orbit and adjacent structures during subtotal exenteration. DESIGN: Interventional case reports. METHODS: A flap composed of orbital fat supported by an extraocular muscle pedicle was used to fill a defect between the orbit and the nasal cavity in one case, and to buttress a fascia lata graft covering exposed dura mater in one case. RESULTS: The exenterated socket healed satisfactorily without fistula formation in both cases. CONCLUSIONS: Primary repair of communications between the orbit and its surrounding cavities may prevent the development of postoperative fistulae or cerebrospinal fluid leakage.
George B Bartley; Jan L Kasperbauer
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of ophthalmology     Volume:  134     ISSN:  0002-9394     ISO Abbreviation:  Am. J. Ophthalmol.     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-11-13     Completed Date:  2002-11-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370500     Medline TA:  Am J Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  787-8     Citation Subset:  AIM; IM    
Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota 55905, USA.
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MeSH Terms
Adipose Tissue / transplantation*
Aged, 80 and over
Carcinoma, Basal Cell / pathology,  surgery
Carcinoma, Squamous Cell / pathology,  surgery
Fascia Lata / transplantation*
Oculomotor Muscles / surgery*
Orbit / surgery*
Orbit Evisceration*
Orbital Neoplasms / pathology,  surgery
Reconstructive Surgical Procedures*
Surgical Flaps*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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