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March 1973

Orbital Reconstruction After Radical Resection

Author Affiliations

From the Department of Surgery, Peter Bent Brigham Hospital, and Children's Hospital Medical Center, Harvard Medical School, Boston. Dr. Habal is now with Indiana University Medical Center, Indianapolis.

Arch Surg. 1973;106(3):352-355. doi:10.1001/archsurg.1973.01350150086024

The authors describe a technique for reconstruction of the orbital area after resection of the entire bony orbit. A blood carrying pedicle is transferred to the area from the upper arm or from the abdomen with use of the wrist as a carrier. The flap is divided, the medial portion being used to close the nasopharynx (skin surface toward nasopharynx) and the lateral one to close the remaining orbital defect. The procedure is recommended only for patients in whom the diseases have been shown to be well under control months after the original procedure. It has been used in four patients with very satisfactory long-term results.

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