The galea fascia flap in orbital reconstruction: innovative harvest technique. |
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| Authors: | R A Zwahlen K W Gr?tz J A Obwegeser |
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| Affiliation: | 1. Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan;2. Department of Pathology, Okayama University Hospital, Okayama, Japan;3. Department of Neurological Surgery, Japanese Red Cross Okayama Hospital, Okayama, Japan;1. Lecturer and Oral Pathologist, Department of Oral and Maxillofacial Surgery, Oral Medicine, Pathology and Radiology, School of Dentistry, Moi University, Eldoret, Kenya;2. Lecturer and Oral and Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, Oral Medicine, Pathology and Radiology, School of Dentistry, Moi University, Eldoret, Kenya;1. Attending Staff, Department of Oral and Maxillofacial Surgery, Qilu Hospital and the Institute of Stomatology, Shandong University, Jinan, China;2. Attending Staff, Department of Oral and Maxillofacial Surgery, Qilu Hospital and the Institute of Stomatology, Shandong University, Jinan, China;3. Resident, Department of Oral and Maxillofacial Surgery, Qilu Hospital and the Institute of Stomatology, Shandong University, Jinan, China;4. Professor and Department Head, Department of Oral and Maxillofacial Surgery, Qilu Hospital and the Institute of Stomatology, Shandong University, Jinan, China;1. Department of Neurosurgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Republic of Korea;2. Department of Neurosurgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea |
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| Abstract: | AIM: To report the treatment of a recurrent adenoid-cystic carcinoma of the lacrimal gland required orbital exenteration with an en bloc resection of the lateral orbital rim and wall and an anterior portion of the temporal muscle. Reconstruction was planned with both the objectives of a shortened healing time for faster epithetic reconstruction and no visible scars. METHOD: After a cranially extended temporal approach, the dissection of the superficial galea layer was connected with the subcutaneous dissection of the upper and lower eyelid after subciliary incisions. RESULTS: Ample exposure of the temporal, frontal and orbital region was obtained, facilitating the orbital exenteration with en bloc resection of the lateral orbital rim and wall and the anterior portion of the temporal muscle. The epithelialization of the eye socket covered with the galea fascia flap was accelerated, providing faster epithetic reconstruction, without visible scars. CONCLUSIONS: Healing time is accelerated, providing faster epithetic rehabilitation without visible scars, which is important in the postoperative rehabilitation ladder after eye exenteration for both patient and surgeon. Further more ablative surgery within this region gets safer and easier due to the ample exposure of this innovative surgical technique. Further evaluation of the effectiveness and safety of this new approach is advisable. |
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