CONWAY * described two cases in which the defect was covered by a graft of skin. In the third case "the surgery was carried out by an exenteration and radical excision, but the defect was closed in a different way. The soft tissues were elevated from the forehead and relaxed by the use of horizontal incisions, which were carried through the periosteum and the fibers of the frontalis muscle, but not through the skin. Similarly, the soft tissues were separated from the anterior aspect of the maxilla, using the periosteal elevator. Mobilization of the soft tissues of the upper and lower portions of the wound was effected by this technique, so that the defect could be closed by linear suture, in horizontal direction. The relaxation of the upper flap by the use of the hidden relaxation incisions is the effective step in this technique. This method recognizes the fact that dead
FUCHS A. SIMPLE LAST STEP OF EXENTERATIO ORBITAE. AMA Arch Ophthalmol. 1956;55(5):692–693. doi:10.1001/archopht.1956.00930030696010
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