Orbital Reconstruction.

Abstract

Orbital reconstruction poses a true challenge for reconstructive surgeons owing to the three-dimensional anatomy of the orbit, proximity to the brain and sinonasal tract, as well as the delicate interface between bone and soft tissue. A thorough understanding of both form and function allows successful reconstruction of this unique region. A defect-driven approach coupled with an understanding of the patient's overall health can guide the reconstructive surgeon in choosing viable options. Orbital reconstruction truly lends itself to the art and skill of the surgeon, as it spans the gamut from trauma repair to resurfacing of exenteration defects to skull base reconstruction. Soft-tissue techniques utilized for eyelid reconstruction are equally challenging due to the propensity of the periorbital structures to readily fibrose and compromise ideal function.