The 'RITE' use of the Fricke flap in periorbital reconstruction

Eye
G WilcsekI Francis

Abstract

To revisit an important but outmoded periorbital reconstructive technique. We present cases to illustrate the usefulness of the Fricke flap and describe a method of rapid intraoperative tissue expansion (RITE), which can enhance the applicability and effectiveness of the Fricke flap. A comparison between those cases performed with and without adjunctive RITE was not made due to the low numbers available. A retrospective review of clinical cases. A total of 20 cases in which the Fricke flap was used for periorbital reconstruction were reviewed. The mean patient age was 64.7 years; the male-to-female ratio was 1:1. The patient follow-up ranged from 1 to 8 years with a mean of 4.2 years. The most common cause (65%) of periorbital defect was excision of eyelid malignancy. Necrosis of the terminal segment of the flap requiring further surgical intervention occurred in 10% (2/20). In both of these cases, the surgeons were trainees, with the complications being due to poor surgical technique. In the first case, the flap base was too narrow and in the second case, the distal end of the flap was thinned excessively. The functional result was excellent in 10/20 (50%), good in 5/20 (25%), fair in 3/20 (15%), and poor in 2/20 (10%). The co...Continue Reading

References

Apr 1, 1992·Archives of Otolaryngology--head & Neck Surgery·K A Shumrick, T L Smith
Sep 1, 1991·Archives of Otolaryngology--head & Neck Surgery·T K Ehlert, J R Thomas
Mar 1, 1991·Annals of Plastic Surgery·B K MachidaP Chandrasoma
Dec 1, 1990·Archives of Otolaryngology--head & Neck Surgery·S R Baker, N A Swanson
Oct 1, 1985·The Journal of Trauma·M W MarksS H Anderson
Apr 1, 1982·Archives of Otolaryngology·E P LiebmanM DellaVecchia
Feb 1, 1995·The Journal of Surgical Research·S M BelkoffR C Haut
Nov 1, 1993·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R A GuidaT M Johnson
Sep 1, 1996·Archives of Ophthalmology·R P YeattsB L Matthews
Jul 1, 1997·Archives of Ophthalmology·D T TseM Meldrum
Jan 27, 1998·Ophthalmology·J A FosterS S Greenbaum
Apr 3, 2001·Ophthalmic Plastic and Reconstructive Surgery·A MaloofB Leatherbarrow
Oct 20, 2001·Ophthalmic Plastic and Reconstructive Surgery·A A McNabG Kourt

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Citations

Dec 24, 2010·Ophthalmic Plastic and Reconstructive Surgery·Paul S CannonBrian Leatherbarrow
Oct 23, 2012·Facial Plastic Surgery Clinics of North America·Görkem EskiizmirCemal Cingi
Jul 23, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Julio Barba-GómezRonell Bologna-Molina
Jan 20, 2010·Survey of Ophthalmology·Ana M S MorleyRaman Malhotra
Dec 25, 2008·Science and Engineering Ethics·Yonca Hürol
May 25, 2016·Ophthalmic Plastic and Reconstructive Surgery·Christopher M StewartJonathan H Norris
Dec 12, 2017·BioMed Research International·Federico Lo TortoDiego Ribuffo
Jul 28, 2019·Plastic and Reconstructive Surgery·Mohammed S AlghoulChad A Purnell

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