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Dallalzadeh LO, Qualliotine JR, Crawford KL, Liu CY, Kikkawa DO, Brumund KT, Orosco RK, Korn BS. Orbital floor reconstruction via autologous radial forearm free flap with palmaris longus tendon. Orbit 2024; 43:126-130. [PMID: 35666706 DOI: 10.1080/01676830.2022.2081986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Accepted: 05/21/2022] [Indexed: 10/18/2022]
Abstract
We describe reconstruction of the orbital floor following suprastructure maxillectomy for resection of maxillary squamous cell carcinoma utilizing an osteocutaneous radial forearm free flap and palmaris longus tendon.
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Affiliation(s)
- Liane O Dallalzadeh
- UC San Diego Viterbi Family Department of Ophthalmology, Division of Oculofacial Plastic and Reconstructive Surgery, La Jolla, CA, USA
| | | | | | - Catherine Y Liu
- UC San Diego Viterbi Family Department of Ophthalmology, Division of Oculofacial Plastic and Reconstructive Surgery, La Jolla, CA, USA
| | - Don O Kikkawa
- UC San Diego Viterbi Family Department of Ophthalmology, Division of Oculofacial Plastic and Reconstructive Surgery, La Jolla, CA, USA
- UC San Diego Department of Surgery, Division of Plastic and Reconstructive Surgery, La Jolla, CA, USA
| | - Kevin T Brumund
- Department of Otolaryngology, UC San Diego, La Jolla, CA, USA
- Moores Cancer Center, UC San Diego, La Jolla, CA, USA
| | - Ryan K Orosco
- Department of Otolaryngology, UC San Diego, La Jolla, CA, USA
- Moores Cancer Center, UC San Diego, La Jolla, CA, USA
| | - Bobby S Korn
- UC San Diego Viterbi Family Department of Ophthalmology, Division of Oculofacial Plastic and Reconstructive Surgery, La Jolla, CA, USA
- UC San Diego Department of Surgery, Division of Plastic and Reconstructive Surgery, La Jolla, CA, USA
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The Role of Rigid Suspension and Fixation in Treating Lagophthalmos After Lower Eyelid Reconstruction. J Craniofac Surg 2021; 33:e240-e241. [PMID: 34320583 DOI: 10.1097/scs.0000000000008024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
ABSTRACT A patient with severe eyelid defects caused by a car accident was admitted to the Plastic Surgery Department of the First Hospital of Jilin University. The lower eyelid was first reconstructed with autogenous palatal mucosa and a temporal musculocutaneous flap, which provided adequate tissue volume. Postoperatively, eyelid closure was good. After long-term follow-up, the reconstructed lower eyelid showed laxity and downward movement. The eyelid could not close completely and lagophthalmos occurred. Then, the lower eyelid was suspended by the fascia lata. The suture at the point of fixation became loose again after the operation. Incomplete eyelid closure recurred. Finally, palmaris longus tendon graft suspension combined with screw fixation was used to obtain a satisfactory therapeutic effect. In summary, rigid suspension and fixation can provide adequate lateral tension to resist lower reconstructed eyelid shifting and lagophthalmos, which is important for the maintenance of lasting effects.
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