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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...

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Detalles Bibliográficos
Autores principales: Bhatnagar, Ankur, Agarwal, Amit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
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.
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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
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