Complete orbit and forehead reconstruction using a free latissimus dorsi flap and MEDPOR implants

Head & Neck
Dimitrios AntonopoulosAris Masmanidis

Abstract

Reconstruction of enormous composite defects of the face in the presence of meningitis is a difficult problem. We present a case of a 29-year-old man with a huge, posttraumatic bone and soft tissue defect of the upper half of the left side of the face (orbit-zygoma-frontal-partial temporal bones), frontal lobe of the brain, and enucleated eye with intact facial skin. An initial reconstruction using cement was complicated by multiple episodes of meningitis. In a multiple-stage procedure, we used a free latissimus dorsi muscle flap to re-construct the soft tissue defect and control the infection, a complete left orbit and frontal MEDPOR implant for the bone defect, and also an orbital sphere MEDPOR implant for the eyeball. In a 2-year follow-up, no infection was observed, and the cosmetic result is satisfactory. The combination of free flap and MEDPOR implants demonstrates an alternative method for reconstruction of complicated facial defects.

References

Mar 9, 2002·Plastic and Reconstructive Surgery·Pedro M VillarrealJuan J Barbón
Mar 7, 2003·Aesthetic Plastic Surgery·Serdar OztürkFatih Zor
Apr 25, 2003·Plastic and Reconstructive Surgery·Michael J Yaremchuk
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Jun 29, 2004·Clinics in Plastic Surgery·Younghoon R Cho, Arun K Gosain
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Citations

Dec 16, 2016·The Journal of Craniofacial Surgery·Denis EhrlMilomir Ninkovic
Jul 16, 2013·The Journal of Craniofacial Surgery·Federico BiglioliGiacomo Colletti
Jan 26, 2010·The Journal of Craniofacial Surgery·Secil KarakocaBilge Turhan Bal
Jul 10, 2019·Military Medicine·Scott J FarberEduardo D Rodriguez

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