DOI:

10.37988/1811-153X_2022_2_74

Post-exenteration reconstruction of the orbital cavity with a temporal muscle flap

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Authors

  • A.M. Sipkin 1, PhD in Medical Sciences, head of the Maxillofacial surgery and hospital surgical dentistry Department
    ORCID: 0000-0001-8287-741X
  • D.V. Akhtyamov 1, dentistry surgeon at the Maxillofacial surgery and hospital surgical dentistry Department
    ORCID: 0000-0002-1617-1758
  • A.V. Chumakov 1, postgraduate at the Maxillofacial surgery and hospital surgical dentistry Department
    ORCID: 0000-0002-3043-5019
  • 1 Moscow Regional Research Clinical Institute (MONIKI), 129110, Moscow, Russia

Abstract

The article presents clinical cases of orbital cavity reconstruction in patients with malignancies of the orbit and its appendages who underwent orbital exenteration using the temporalis muscle to eliminate the defect in the period from 2015 to 2020. 13 patients (nine men, four women, aged 55 to 86 years) with basal cell carcinoma, uveal melanoma, adenocarcinoma of the orbit. Primary orbital reconstruction was performed in all patients immediately after orbital exenteration. In the early and delayed postoperative period, patients were underwent a medical examination. Local recurrences were monitored by repeated computed tomography of the maxillofacial area, regular monitoring in the postoperative period. Also, with the help of radiological research methods, it was possible to detect redevelopment of tumor of the bone walls of the orbit and intracranial recidivation in three patients. Two patients died from systemic metastases and three died from other causes (heart attack, complications of diabetes). 7 patients had a preservation of a high volume of soft and bone tissues in the cavity of the orbit according to the data of computed tomography of the study. Extraoral implants were insert in 4 patients. We saw stabilization and osseointegration of extraoral implants in the orbit cavity in all cases. Reliable fixation of ocular prostheses was noted.
Conclusions.
The temporal muscle flap is easily used to close the defect after total orbital exenteration. Using the described method, allows to close the defect of the donor site. This method does not interfere with the detection of redevelopment of tumor, the use of temporal muscle in some cases is optimal method for preparing the orbital cavity for further prosthetics.

Key words:

orbital exenteration, temporal muscle flap, orbital reconstruction, surgical treatment

For Citation

[1]
Sipkin A.M., Akhtyamov D.V., Chumakov A.V. Post-exenteration reconstruction of the orbital cavity with a temporal muscle flap. Clinical Dentistry (Russia).  2022; 25 (2): 74—80. DOI: 10.37988/1811-153X_2022_2_74

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Received

January 26, 2022

Published on

June 1, 2022