A Immediate Orbital Floor Reconstruction after Suprastructure Maxillectomy

Jun Woong Song; Jung Ho Oh; Joo Yeon Kim; Jae Hwan Kwon

doi:10.18787/jr.2016.23.2.130

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Song, Oh, Kim, and Kwon: A Immediate Orbital Floor Reconstruction after Suprastructure Maxillectomy

Case Report

J Rhinol 2016;23(2):130-133.

Published online: 10 January 2016

DOI: https://doi.org/10.18787/jr.2016.23.2.130

A Immediate Orbital Floor Reconstruction after Suprastructure Maxillectomy

Jun Woong Song, MD, Jung Ho Oh, MD, Joo Yeon Kim, MD, PhD, Jae Hwan Kwon, MD, PhD

Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea

교신저자：권재환, 49267 부산광역시 서구 감천로 262 고신대학교 의과대학 이비인후과학교실 Tel: +82-51-990-6247, Fax: +82-51-245-8539, E-mail: entkwon@hanmail.net

Received 24 August 2014 Revised 13 July 2016 Accepted 17 August 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Orbital wall reconstruction after maxillectomy for maxillary malignancies is very challenging for surgeons. Preservation of the orbit is a current trend in this procedure in order to increase the quality of life of patients. If the patients have not achieved a proper and adequate rigid frame of the orbital floor after maxillectomy, they can suffer from enophthalmos, diplopia, and/or decreased vision. The authors report one case of immediate orbital floor reconstruction using a bioreabsorbable panel and titanium mesh after successful suprastructure maxillectomy. The functional and plastic outcomes of the orbit were excellent 4 years after surgery, without complications or recurrence.

Keywords: Orbit, Reconstruction, Maxillectomy.

References

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Fig. 1.

Facial CT scans shows mass which destructs anterior wall, medial wall and orbital floor in right maxillary sinus. A: Axial scan. B: Coronal scan.

Fig. 2.

Facial MRI scans shows mass which invade facial soft tissue. None-theless, subcutaneous fat boundaries remain intact. A: Axial scan. B: Coronal scan.

Fig. 3.

Bioresorbable panel (arrow head) was placed around the periorbital tissue in order to protect the soft tissue during reconstruction and to facilitate accurate placement of reconstructive material. Titanium mesh (arrow) used to provide stability in reconstruction inferior of orbit and orbital floor, respectively. A: Before reconstruction. B: After reconstruction.

Fig. 4.

Postoperative facial photographs, facial CT scan and endoscopic finding, 6 month after surgery, show well reconstructed inferior orbital rim and orbital floor without enophthalmos. A: Preoperative facial photograph. B: Postoperative facial photograph. C: axial scan. D: Coronal scan. E: Endoscopic finding.

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