Reconstruction of orbital exenteration

After spontaneous healing over a period of several months, an osteo-ingrated system in the orbital rim is used for reconstruction after exenteration of the orbit. A prosthesis which gives a good cosmetic result can then be used. In the case of eyelid preservation, it is possible to build a mucous socket in front of the filling using temporal muscle. The galea flap is less exposed to retraction than mucous grafts. In cases requiring a palliative procedure, transposition of the temporalis muscle covered with a skin graft is the technique of choice. Enlarged exenteration to the face requires the connection of free flaps to vascular pedicles of the face.