PMC3335501_01
Preoperative coronal CT scan demonstrating invasive midface lesion and resultant defect after extirpation.
PSI2011-941742.001.jpg
PMC3335501_01_PSI2011-941742.001.jpg
fig1
Extirpation preserved the globe but created a complex defect involving the entire maxilla, the palate, a portion of the pharyngeal wall, the infraorbital rim, and the orbital floor (Figure 1).
Flap design highlighting the de-epithelialization technique for multisubsite reconstruction and subsequent inset with Medpor orbital rim implant visible.
PSI2011-941742.002.jpg
PMC3335501_01_PSI2011-941742.002.jpg
fig2
A large segment of the flap was de-epithelialized and used to replace the missing maxillary volume, to line the lateral nasal sidewall, and to provide coverage for a Medpor orbital rim implant (Figure 2).
PMC3335501_02
PMC3335501_03
Large defect after orbital exenteration exposing the anterior cranial base, immediate postop result in operating room, and result at 6 weeks postop.
PSI2011-941742.003.jpg
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fig3
The defect, immediate postoperative result and long-term postoperative result, is displayed (Figure 3).