Repair of large orbito-cutaneous defects by combining two classical flaps.

INTRODUCTION: Despite the fact that orbital exenteration is one of the most socially distressing facial operations, it may be necessary, still. The repair of a radically exenterated orbit is a difficult problem for surgeons to resolve. MATERIAL AND PATIENTS: In the Department of Oral and Maxillofacial Surgery, Madrid, nine patients underwent orbital exenteration including simultaneous periorbital tissue resection for invasive orbital and/or periorbital tumours between 1990 and 2000. Primary repair was performed by temporalis myofascial plus facio-cervico-pectoral flaps.
RESULTS: This technique resulted in low morbidity, short period of hospitalization and good facial aesthetics.