Re: ‘Reconstruction of orbital floor and maxilla with divided vascularised calvarial bone flap in one session’

Abstract

We have reviewed the clinical study, conducted by Bilge et al., regarding the use of vascularised calvarial bone grafts in the reconstruction of orbital floor and maxilla. 1 Bilen B.T. Kılınc H. Arslan A. et al. Reconstruction of orbital floor and maxilla with divided vascularised calvarial bone flap in one session. J Plast Reconstr Aesthet Surg. 2006; 59: 1305-1311 Google Scholar In this paper, the authors emphasise the necessity of elevating the temporoparietal hairy skin in the supragaleal-subfollicular plane to preserve the superficial temporal vascular territory in the temporal region. Reconstruction of orbital floor and maxilla with divided vascularised calvarial bone flap in one sessionJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 59Issue 12PreviewWe present four cases which underwent reconstruction of orbital floor and anterior maxillary wall with a vascularised bone flap following partial maxillectomy. After tumour resections, superficial temporal artery (STA) and vein based calvarial bone flaps from the outer tabula were prepared. Without disrupting the integrity of fascia and periosteum, the bone was separated into two segments in the same direction as the blood flow and one is 3 cm and the other 5 cm. The two bone segments were transferred as one single flap and one segment of the flap was used to reconstruct the orbital floor and the other for reconstruction of the anterior maxillary wall. Full-Text PDF Reconstruction of orbital floor and maxilla with divided vascularised calvarial bone flap in one session: ReplyJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 61Issue 7PreviewWe thank Dr. Halil Ibrahim Canter and Dr. Ian T. Jackson for kind and thought provoking comments.1,2 We agree that after tumor invasion of orbital floor and maxilla, resection is required. But in order to reconstruct these defects anatomically, only soft tissue coverage will be insufficient because of aesthetic and functional problems. We aimed to increase the quality of life of the patient socially with a better appearance and to prevent diplopia, ptosis and facial contour deformities. For these purposes we planned the reconstruction of orbital floor and maxilla with divided vascularised calvarial bone flap in one session. Full-Text PDF