Bethany M Erb, Courtney Kelly, Clayton Booth, Brett W Davies, Wesley L Brundridge, Rodney Chan, Donovan S Reed
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Latissimus Dorsi Free Flap Reconstruction After Bilateral Orbital Exenteration Following Extensive Facial Thermal Burns.
Extensive periorbital burns pose profound reconstructive challenges, particularly those that leave a composite orbitocranial defect lacking adequate local tissue for coverage. We report a case of a 40-year-old man who suffered severe facial soft-tissue burn injury, bilateral Roper-Hall grade IV ocular injury, and progressive periorbital necrosis who ultimately required bilateral orbital exenteration and multidisciplinary reconstructive efforts. To the authors' knowledge, this is the first description of a single-stage latissimus dorsi myocutaneous free flap reconstruction after bilateral orbital exenteration following extensive periorbital thermal burns and affirms the reliability of the latissimus dorsi myocutaneous flap for orbitocranial defect repair.
期刊介绍:
Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.