EYE SOCKET RECONSTRUCTION WITH FREE FLAPS IN PATIENTS WHO HAVE HAD POSTOPERATIVE RADIOTHERAPY

It is difficult to fit an ocular prosthesis and correct periorbital de pression deformity in a patient who has undergone radiotherapy after e nucleation of the eye for retinoblastoma during infancy. Simultaneousl y, developmental disturbances of the eyelids and severe periorbital de pression deformities develop. However, due to recent advances in micro vascular surgery, free flap transplantation is increasingly used for e ye socket reconstruction because of its good circulatory effects with enough volume to augment large periorbital tissue defects. In the pres ent study, we report on our success in using a free groin flap, scapul ar flaps and parascapular flaps simultaneously for reconstruction of e ye sockets and correction of depressed deformities.