Surgical reconstruction of the contracted eye socket and orbitozygomatic hypoplasia in a one-stage operation

To correct the contracted eye socket and orbitozygomatic hypoplasia simulta neously secondary to previous surgery and radiotherapy, we employed a one-s tage surgical reconstruction that used a postauricular skin flap and tempor al 1 fascial flap, which were rotated for eye socket reconstruction and bon e graft coverage. Hydroxyapatite was inserted as an onlay bone graft substi tute to enlarge the orbitozygomatic region. In our 12-case experience the r esults were satisfying and encouraging with minor complications, which are presented.