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Journal of Korean Cleft Palate-Craniofacial Association 2003;4(2):156-159.
Correction of Orbital Hypoplasia Using A Radial Forearm Osteocutaneous Free Flap.
Kyung Sok Ryou, Dong Gook Seo, Chul Hoon Chung, Suk Joon Oh
1Department of Plastic and Reconstructive Surgery, College of Medicine, Hallym University, Seoul, Korea.
221 Century Plastic Surgery, Seoul, Korea. hlps@hallym.or.kr
Abstract
Exenteraion in early infancy by a tumor and radiotherapy caused the contracted eye socket and Orbital hypoplasia. This result is because of the abscence of the conjunctival fornix and in severe contraction of orbital fat and developmental bone abnormalities. The authors corrected a contracted eye socket and orbital hypoplasia simultaneously, secondary to previous surgery and radiotherapy. A one-stage surgical reconstruction was undertaken using a radial osteocutaneous flap, which were transfered for eye socket reconstruction and orbital hypoplasia. Adipofascia and fragment of radius inserted as an hypoplastic orbit rim susbtitute to enlarge the orbital region. We report that we have experienced a case of eye socket reconstruction with a radial forearm osteocutaneous free flap.
Keywords: Contracted eye socket; Orbital hypoplasia; Radial forearm osteocutaneous flap


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