Abstract
The method of reconstructing the orbital floor in immediate maxillary reconstruction after total maxillectomy is an important consideration for restoration of eyeball functions. Materials available for orbital floor reconstruction include free iliac bone grafts, vascularized costal cartilage combined with a rectus abdominis musculocutaneous flap, pedicled calvarial bone grafts, and titanium mesh plates. We performed immediate orbital floor reconstruction with titanium mesh plates and free soft-tissue flaps in 14 patients from 1992 through 2005. The patients ranged in age from 34 to 79 years and included 10 men and 4 women. Reconstruction was immediately successful in all cases. Eyeball functions were preserved, except in 2 cases in which blindness developed immediate postoperatively owing to extirpation of the primary tumor that had invaded the orbital contents. In 12 cases, eye movement was not disturbed, and neither eyeball dislocation nor double vision was observed. However, the titanium mesh used to reconstruct the bony contour of the zygoma was exposed in 1 case about 4 years after surgery, necessitating removal of the mesh plate and further reconstruction. A titanium mesh plate is thin and pliable and sufficiently strong to sustain the orbital contents. We believe that a titanium mesh plate, when combined with a free soft-tissue flap, is a reliable material for reconstruction of the orbital floor. However, because of the risk of exposure, mesh plates should not be used to reconstruct facial contours.
| Original language | English |
|---|---|
| Pages (from-to) | 869-875 |
| Number of pages | 7 |
| Journal | Japanese Journal of Plastic and Reconstructive Surgery |
| Volume | 50 |
| Issue number | 8 |
| Publication status | Published - Aug 2007 |
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ASJC Scopus subject areas
- Surgery
Cite this
Immediate orbital floor reconstruction with titanium mesh plates and free flaps after total maxillectomy. / Sakuraba, Minoru; Asano, Takayuki; Yano, Tomoyuki; Hayashi, Ryuichi; Yamazaki, Mitsuo; Miyazaki, Masakazu; Ugumori, Toru; Kimata, Yoshihiro.
In: Japanese Journal of Plastic and Reconstructive Surgery, Vol. 50, No. 8, 08.2007, p. 869-875.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Immediate orbital floor reconstruction with titanium mesh plates and free flaps after total maxillectomy
AU - Sakuraba, Minoru
AU - Asano, Takayuki
AU - Yano, Tomoyuki
AU - Hayashi, Ryuichi
AU - Yamazaki, Mitsuo
AU - Miyazaki, Masakazu
AU - Ugumori, Toru
AU - Kimata, Yoshihiro
PY - 2007/8
Y1 - 2007/8
N2 - The method of reconstructing the orbital floor in immediate maxillary reconstruction after total maxillectomy is an important consideration for restoration of eyeball functions. Materials available for orbital floor reconstruction include free iliac bone grafts, vascularized costal cartilage combined with a rectus abdominis musculocutaneous flap, pedicled calvarial bone grafts, and titanium mesh plates. We performed immediate orbital floor reconstruction with titanium mesh plates and free soft-tissue flaps in 14 patients from 1992 through 2005. The patients ranged in age from 34 to 79 years and included 10 men and 4 women. Reconstruction was immediately successful in all cases. Eyeball functions were preserved, except in 2 cases in which blindness developed immediate postoperatively owing to extirpation of the primary tumor that had invaded the orbital contents. In 12 cases, eye movement was not disturbed, and neither eyeball dislocation nor double vision was observed. However, the titanium mesh used to reconstruct the bony contour of the zygoma was exposed in 1 case about 4 years after surgery, necessitating removal of the mesh plate and further reconstruction. A titanium mesh plate is thin and pliable and sufficiently strong to sustain the orbital contents. We believe that a titanium mesh plate, when combined with a free soft-tissue flap, is a reliable material for reconstruction of the orbital floor. However, because of the risk of exposure, mesh plates should not be used to reconstruct facial contours.
AB - The method of reconstructing the orbital floor in immediate maxillary reconstruction after total maxillectomy is an important consideration for restoration of eyeball functions. Materials available for orbital floor reconstruction include free iliac bone grafts, vascularized costal cartilage combined with a rectus abdominis musculocutaneous flap, pedicled calvarial bone grafts, and titanium mesh plates. We performed immediate orbital floor reconstruction with titanium mesh plates and free soft-tissue flaps in 14 patients from 1992 through 2005. The patients ranged in age from 34 to 79 years and included 10 men and 4 women. Reconstruction was immediately successful in all cases. Eyeball functions were preserved, except in 2 cases in which blindness developed immediate postoperatively owing to extirpation of the primary tumor that had invaded the orbital contents. In 12 cases, eye movement was not disturbed, and neither eyeball dislocation nor double vision was observed. However, the titanium mesh used to reconstruct the bony contour of the zygoma was exposed in 1 case about 4 years after surgery, necessitating removal of the mesh plate and further reconstruction. A titanium mesh plate is thin and pliable and sufficiently strong to sustain the orbital contents. We believe that a titanium mesh plate, when combined with a free soft-tissue flap, is a reliable material for reconstruction of the orbital floor. However, because of the risk of exposure, mesh plates should not be used to reconstruct facial contours.
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M3 - Article
AN - SCOPUS:34547927030
VL - 50
SP - 869
EP - 875
JO - Japanese Journal of Plastic Surgery
JF - Japanese Journal of Plastic Surgery
SN - 0021-5228
IS - 8
ER -