Aesthetic Plastic Surgery

, Volume 11, Issue 1, pp 229–239 | Cite as

Aesthetic considerations in the reconstruction of the anophthalmic orbit

  • Mutaz B. Habal
Article

Abstract

Twenty-four patients with severe anophthalmic orbit syndrome were treated with a combination of techniques utilizing autogenous tissue. Autogenous corticocancellous bone grafts were used in the orbit as a volume filler. The temporalis muscle and a fasciae flap with a pericranial flap were used as a curtain to cover the bone grafts and to give a softening effect. The prosthesis used was a regular eye shell. With this method it can be smaller, thinner, and lighter to produce less deformation of the lower lid, particularly when used for a long period of time. In children who have this deformity compounded by small orbits after oncologic treatment, three-wall orbital enlargement is done to achieve a larger orbit, so as to match the normal unaffected socket and produce symmetry.

Key words

Anophthalmic orbit Autogenous bone grafts Adjacent muscle, facial, pericranial flaps Orbital prosthesis 
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Copyright information

© Springer-Verlag New York Inc. 1987

Authors and Affiliations

  • Mutaz B. Habal
    • 1
  1. 1.Tampa Bay Craniofacial Center, Institute of Human ResourcesUniversity of South FloridaTampa

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