[Synthetic plastic surgery for hemilateral facial deformity after retinoblastoma operation].

OBJECTIVE

To evaluate the effect of correcting complex deformity of the orbital region and contraction of the eye socket that caused by enucleation and postoperative irradiation for the treatment of retinoblastoma.

METHODS

Depressive deformity of the orbitozygoma was corrected, and a large permanent eye socket was achieved in two-stage operation. First-stage surgery: Orbitozygomatic deformity reconstruction with hydroxyapatite (HA) and a temporoparietal fascial flap and a HA implant for correction of anophthalmos. Second-stage: Free radial forearm flap was adopted for eye socket reconstruction.

RESULTS

Excellent cosmetic results of this method in 8 cases were demonstrated.

CONCLUSION

This method is effective for management of complex deformities of orbitozygoma and contraction of eye socket.