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Large orbital defect reconstruction in the setting of globe‐sparing maxillectomy: The titanium hammock and layered fibula technique

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The purpose of our study was to describe a novel technique for reconstruction of orbital defects after maxillectomy using a non‐anatomic titanium mesh suspension of orbital contents for both support… Click to show full abstract

The purpose of our study was to describe a novel technique for reconstruction of orbital defects after maxillectomy using a non‐anatomic titanium mesh suspension of orbital contents for both support and volume correction. This construct is then articulated with a layered fibula osteocutaneous free flap that restores orbital rim, zygoma, and maxillary alveolus. We herein present our application of this technique, including refinements over time and long‐term outcomes.

Keywords: technique; reconstruction; large orbital; titanium; layered fibula; orbital defect

Journal Title: Microsurgery
Year Published: 2018

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