Correction of the contracted eye socket and orbitozygomatic hypoplasia using postauricular skin flap and temporal fascial flap

The authors corrected a contracted eye socket and orbitozygomatic hypoplasi a simultaneously, secondary to previous surgery and radiotherapy. A one-sta ge surgical reconstruction was undertaken using both a postauricular skin f lap and a temporal fascial flap, which were rotated for eye socket reconstr uction and bone graft coverage. Hydroxyapatite was inserted as an onlay bon e graft substitute to enlarge the orbitozygomatic region. The authors' expe rience with 12 patients resulted in contours that were satisfying and encou raging.