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Aesthetic considerations in the reconstruction of the anophthalmic orbit

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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.

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Author notes

  1. Mutaz B. Habal M.D., FRCS (C)

    Present address: Center for Material Science Research, University of Florida, USA

Authors and Affiliations

  1. Tampa Bay Craniofacial Center, Institute of Human Resources, University of South Florida, Tampa, Florida

    Mutaz B. Habal M.D., FRCS (C)

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  1. Mutaz B. Habal M.D., FRCS (C)
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Habal, M.B. Aesthetic considerations in the reconstruction of the anophthalmic orbit. Aesth. Plast. Surg. 11, 229–239 (1987). https://doi.org/10.1007/BF01575515

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  • DOI: https://doi.org/10.1007/BF01575515

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