Tan Ju Ann, Khoo Ee Theng, Al-Chalabi Muath Mamdouh Mahmod, Mohd Zainal Hamidah, Wan Sulaiman Wan Azman
Reconstructive Sciences Unit, Universiti Sains Malaysia (USM), Kota Bharu, MYS.
Plastic and Reconstructive Surgery, Hospital Kuala Lumpur, Kuala Lumpur, MYS.
Cureus. 2023 Jul 27;15(7):e42572. doi: 10.7759/cureus.42572. eCollection 2023 Jul.
Conjunctival melanoma is a rare and potentially deadly tumor. Therefore, adequate oncological resection is essential, commonly leading to total orbital exenteration, which causes patients' extensive functional and cosmetic impairment. As a result, it is essential to reconstruct the orbital region post-exenteration to obliterate the cavity, provide adequate and pliable cutaneous covering, and restore a stable vascularized tissue that can withstand adjuvant radiotherapy. In recent years, the techniques used for orbital reconstruction have included the transorbital temporoparietal fascial flap, the anterolateral thigh flap, and local flaps, such as the paramedian forehead flap. A free radial forearm flap is currently not commonly used for orbital reconstruction due to potential donor site morbidity and cosmetic issues. In our case, we report a free radial forearm fasciocutaneous flap that has been utilized with promising surgical outcomes to reconstruct the orbital region following orbital exenteration.
结膜黑色素瘤是一种罕见且可能致命的肿瘤。因此，充分的肿瘤切除至关重要，通常会导致全眶内容剜除术，这会给患者带来广泛的功能和外观损害。因此，在剜除术后重建眶区以消除腔隙、提供足够且柔韧的皮肤覆盖物，并恢复能够耐受辅助放疗的稳定血管化组织至关重要。近年来，用于眶重建的技术包括经眶颞顶筋膜瓣、股前外侧皮瓣以及局部皮瓣，如正中旁前额皮瓣。由于潜在的供区并发症和美观问题，游离桡侧前臂皮瓣目前不常用于眶重建。在我们的病例中，我们报告了一例游离桡侧前臂筋膜皮瓣，该皮瓣已被用于眶内容剜除术后的眶区重建，手术效果良好。
