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Naso-orbital fistula and socket reconstruction with radial artery forearm flap following orbital mucormycosis
Invasive mucormycosis is an uncommon cause of orbital exenteration. Reconstruction of an exenterated orbit is a surgical challenge. The loss of eyelids, adnexal structures, and even surrounding skin causes significant facial disfigurement. The goal for reconstruction demands a symmetrical orbital ca...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5357937/ https://www.ncbi.nlm.nih.gov/pubmed/28356694 http://dx.doi.org/10.4103/0975-5950.201361 |
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author | Bhatnagar, Ankur Agarwal, Amit |
author_facet | Bhatnagar, Ankur Agarwal, Amit |
author_sort | Bhatnagar, Ankur |
collection | PubMed |
description | Invasive mucormycosis is an uncommon cause of orbital exenteration. Reconstruction of an exenterated orbit is a surgical challenge. The loss of eyelids, adnexal structures, and even surrounding skin causes significant facial disfigurement. The goal for reconstruction demands a symmetrical orbital cavity with good prosthetic rehabilitation. Multiple reconstructive options in the form of skin grafts, local flaps, and free flaps are available. However, none of them provide ideal reconstruction. Our patient not only had extensive soft-tissue loss and unstable lining but also a large naso-orbital fistula. Reconstruction for this complex defect was done using an adipofascial radial artery flap which not only closed the fistula but also provided soft-tissue bulk and good skin match. Radial artery forearm flap provides a simple, stable, and good reconstructive option postorbital exenteration. |
format | Online Article Text |
id | pubmed-5357937 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-53579372017-03-29 Naso-orbital fistula and socket reconstruction with radial artery forearm flap following orbital mucormycosis Bhatnagar, Ankur Agarwal, Amit Natl J Maxillofac Surg Case Report Invasive mucormycosis is an uncommon cause of orbital exenteration. Reconstruction of an exenterated orbit is a surgical challenge. The loss of eyelids, adnexal structures, and even surrounding skin causes significant facial disfigurement. The goal for reconstruction demands a symmetrical orbital cavity with good prosthetic rehabilitation. Multiple reconstructive options in the form of skin grafts, local flaps, and free flaps are available. However, none of them provide ideal reconstruction. Our patient not only had extensive soft-tissue loss and unstable lining but also a large naso-orbital fistula. Reconstruction for this complex defect was done using an adipofascial radial artery flap which not only closed the fistula but also provided soft-tissue bulk and good skin match. Radial artery forearm flap provides a simple, stable, and good reconstructive option postorbital exenteration. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC5357937/ /pubmed/28356694 http://dx.doi.org/10.4103/0975-5950.201361 Text en Copyright: © 2017 National Journal of Maxillofacial Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Bhatnagar, Ankur Agarwal, Amit Naso-orbital fistula and socket reconstruction with radial artery forearm flap following orbital mucormycosis |
title | Naso-orbital fistula and socket reconstruction with radial artery forearm flap following orbital mucormycosis |
title_full | Naso-orbital fistula and socket reconstruction with radial artery forearm flap following orbital mucormycosis |
title_fullStr | Naso-orbital fistula and socket reconstruction with radial artery forearm flap following orbital mucormycosis |
title_full_unstemmed | Naso-orbital fistula and socket reconstruction with radial artery forearm flap following orbital mucormycosis |
title_short | Naso-orbital fistula and socket reconstruction with radial artery forearm flap following orbital mucormycosis |
title_sort | naso-orbital fistula and socket reconstruction with radial artery forearm flap following orbital mucormycosis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5357937/ https://www.ncbi.nlm.nih.gov/pubmed/28356694 http://dx.doi.org/10.4103/0975-5950.201361 |
work_keys_str_mv | AT bhatnagarankur nasoorbitalfistulaandsocketreconstructionwithradialarteryforearmflapfollowingorbitalmucormycosis AT agarwalamit nasoorbitalfistulaandsocketreconstructionwithradialarteryforearmflapfollowingorbitalmucormycosis |