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Periorbital Free Flap Reconstruction in Children: Surgical and Prosthetic Considerations
Book chapter

Periorbital Free Flap Reconstruction in Children: Surgical and Prosthetic Considerations

Kenneth Kent, Paul M. Glat and Louis P. Bucky
Pediatric Oculoplastic Surgery, pp 629-644
2002

Abstract

Corrective Lens Free Flap Radial Forearm Flap Radial Forearm Free Flap Skin Paddle
Successful reconstruction of defects in the periorbital region is a difficult problem. Periorbital defects can be secondary to trauma, neoplasm, radiation therapy, autoimmune disease, or a variety of congenital anomalies. Reconstruction may involve replacement of all periorbital tissues, including bone and soft tissue, removal of the globe itself, or contouring the periorbital area in cases of relative deficiency. Often an ocular or orbital prosthesis is an integral component of the reconstructive rehabilitation (Figure 33.1). Surgical and prosthetic experience have been developed largely in the adult population. Similar principles apply for defects in children, but are compounded by expected growth and the need to achieve symmetry. In this chapter we draw on adult as well as pediatric examples to emphasize common principles of reconstruction and rehabilitation.

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