[Temporoparietal pedicled flap for orbital reconstruction].

INTRODUCTION

This is excellent technique for orbital cavity reconstruction. The pericranial flap and flap of superficial temporoparietal fascia are supplied by superficial temporal artery and vein. These flaps are used as skin carrier without hairs of retroauricular area that can be moved to area of eye socket.

PATIENT AND METHODS

In twenty patients the temporoparietal peduncular fascial flap (TPFF) for reconstruction of orbital bone defects regardless of etiology. The soft structures and periorbital bones were reconstructed.

RESULTS

The reconstruction gave good esthetic and functional results in all patients that were followed in next six months. In six patients the bottom of eye socket is reconstructed and prepared for eye prosthesis. The occlusion of eye socket is done in ten patients after eye removal. In four patients bone defect were reconstructed with vascular pericranial peduncular flap of parietal bone.