Combined scalp rotation and temporalis muscle flap for orbital exenteration reconstruction.
Layla J Bunjo, Lucy Van De Ven, Yinon Shapira et al.
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Case in brief
This case report describes the successful reconstruction of orbital exenteration defects in four patients with orbital invasive recurrent malignancies using a combined scalp rotation flap and temporalis muscle flap. The procedure involved careful pre-operative planning and execution, with all patients experiencing good healing and acceptable cosmetic outcomes. One patient had a hematoma that was managed conservatively, and no significant complications were reported.
Diagnostic / clinical pearl
The combination of a scalp rotation flap with a temporalis muscle flap can effectively reconstruct complex orbital exenteration defects, providing reliable coverage and aesthetic results.