METHOD FOR PLASTIC REPLACEMENT OF COMBINED DEFECTS OF EYE SOCKET AND ADJOINING ANATOMICAL REGIONS

摘要

FIELD: medicine.SUBSTANCE: anterior face tissue block is removed, and an orbital exenteration is performed. A plastic replacement of the face defect is conducted with using a periosteoaponeurotic flap. That involves forming a frontotemporal periosteoaponeurotic flap including a. frontalis, a. supraorbitalis, a. trochlearis. After the tissues are mobilised along the formed defect in the temporal, face bone and frontal regions, a tunnel is created with its origin in a helical root to an opposite eye brow. The flap is further turned over through the formed tunnel towards the defect, laid over it and sutured along the whole wound surface of the defect. The donor wound is closed.EFFECT: method enables reducing an intraoperative injury rate, improving the blood supply of the used flap, shortening the patients' rehabilitation time.6 dwg, 1 ex