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Orbital floor reconstruction using a tensor fascia lata sling after total maxillectomy.

 Bok Ki Jung  ;  In Sik Yun  ;  Won Jai Lee  ;  Dae Hyun Lew  ;  Eun Chang Choi  ;  Dong Won Lee 
 Journal of Cranio-maxillo-facial Surgery, Vol.44(5) : 648-653, 2016 
Journal Title
 Journal of Cranio-maxillo-facial Surgery 
Issue Date
Adult ; Aged ; Fascia Lata/transplantation* ; Female ; Humans ; Male ; Maxillary Neoplasms/surgery* ; Middle Aged ; Orbit/surgery* ; Postoperative Complications ; Prostheses and Implants ; Reoperation ; Retrospective Studies ; Young Adult
Alloplastic material ; Maxillectomy ; Orbital floor reconstruction ; Tensor fascia lata
PURPOSE: Reconstruction after total maxillectomy with extensive orbital floor defects poses a significant challenge for the reconstruction. The aim of this study is to present the outcomes of orbital floor reconstruction using tensor fascia lata slings after total maxillectomy and to compare these results to orbital floor reconstruction using alloplastic implants. METHOD: This was a retrospective analysis of 19 consecutive patients who underwent tumor resection with orbital floor removal for malignancies. Reconstructions were performed using either tensor fascia lata slings (Group A) or alloplastic implants (Group B). The early and late postoperative outcomes such as wound infection, plate exposure, ectropion, diplopia, and enophthalmos, were analyzed and compared between the two groups. RESULTS: Patients in group A had significantly less wound complication than in group B (p < 0.05). In group A, there were no early or late wound complications after the operation. However, in group B, five patients had infection, the plate was exposed in eight of fourteen patients, and three patients had enophthalmos. Eight patients in group B underwent reoperation to correct their complications. CONCLUSIONS: Reconstruction of the orbital floor with a tensor fascia lata sling offers reliable support to the globe and prevents the ophthalmic complications associated with loss of orbital support.
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1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
유대현(Lew, Dae Hyun)
윤인식(Yun, In Sik) ORCID logo https://orcid.org/0000-0003-1103-7047
이동원(Lee, Dong Won) ORCID logo https://orcid.org/0000-0003-0046-3139
이원재(Lee, Won Jai) ORCID logo https://orcid.org/0000-0003-3056-0503
정복기(Jung, Bok Ki) ORCID logo https://orcid.org/0000-0002-4347-560X
최은창(Choi, Eun Chang)
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