[Orbital exenteration associated with cavity reconstruction].

OBJECTIVE

A surgery was designed for the cosmetic improvement after orbital exenteration.

METHODS

Exenteration associated with simultaneous or secondary orbital reconstruction was performed on 22 patients, including transplantation of temporalis muscle in 11 cases, temporoparietal fascia with vascular pedicle in 10 cases and latissimus dorsi myocutaneous free flap in one case.

RESULTS

Except 7 patients who needed palpebral resection and orthopedic operation the second time, all of them were fitted well with ocular prostheses postoperatively and obtained satisfactory cosmetic results.

CONCLUSION

Among the three methods of orbital reconstruction, the temporoparietal fascia transplantation is the best.