Summary
Infraorbital and zygomatic reconstruction procedures pose challenges to plastic surgeons
because of the close location of the operation to the eyes and nose. Failed flap design
can lead to distortion of the adjacent organs and tissue, particularly for larger
defects. Flaps based on the orbicularis oculi muscle (OOM) can be easily rotated from
the lateral or temporal region to cover the infraorbital and zygomatic area. We use
a soft-tissue expander to enlarge the size of this flap for larger defect repair.
Out of a total of 12 patients whose infraorbital or zygomatic defects ranged from
2.0 × 3.0 cm to 4.0 × 5.0 cm, 11 experienced a successful repair without complications.
The size of the pre-expanded rotation flap ranged from 3.0 × 4.0 cm to 5.0 × 7.0 cm.
The pre-expanded rotation flap based on the OOM has the advantages of an excellent
colour and thickness match to the infraorbital and zygomatic areas, a reliable blood
supply, abundant tissue and negligible donor-site morbidity. It has thus become our
favourite technique for infraorbital and zygomatic reconstruction.
Keywords
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References
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Article info
Publication history
Published online: August 13, 2012
Accepted:
July 17,
2012
Received:
March 4,
2012
Footnotes
☆This work was presented in part at the 16th Congress of the International Confederation for Plastic, Reconstructive and Aesthetic Surgery (IPRAS) May 22–27, 2011, in Vancouver, Canada.
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
