Orbital reconstruction.

Twenty patients with severe orbital and orbitomaxillary deformities secondary to oncologic surgery and radiation were studied. Sixteen patients underwent complete reconstruction of the orbit and the periorbital area. The orbital reconstruction was accomplished with autogenous tissue (skin and dermis grafts) that was anchored to the bony orbit. The periorbital area was augmented with customized implants. Most patients now wear a satisfactory prosthesis with or without lightly tinted glasses, giving them an acceptable orbital symmetry.