Volume 42, Issue 3 pp. 556-568

CLINICAL REVIEW

Management of orbital complications in palatomaxillary reconstruction: A review of preemptive and corrective measures

Martha J. Griffin BS,

Corresponding Author

Martha J. Griffin BS

[email protected]

orcid.org/0000-0001-5666-3602

THANC (Thyroid, Head and Neck Cancer) Foundation, New York, New York

Correspondence

Martha J. Griffin, THANC Foundation, 10 Union Square E, Suite 5B, New York, NY 10003.

Email: [email protected]

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John R. Sims MD,

John R. Sims MD

Department of Otolaryngology—Head and Neck Surgery, Mount Sinai Beth Israel, New York, New York

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Sarah L. Spaulding BS,

Sarah L. Spaulding BS

THANC (Thyroid, Head and Neck Cancer) Foundation, New York, New York

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Fred M. Baik MD,

Fred M. Baik MD

Department of Otolaryngology—Head and Neck Surgery, Mount Sinai Beth Israel, New York, New York

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Ebrahim Elahi MD, FACS,

Ebrahim Elahi MD, FACS

Department of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, New York

Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, New York

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Mark L. Urken MD, FACS,

Mark L. Urken MD, FACS

THANC (Thyroid, Head and Neck Cancer) Foundation, New York, New York

Department of Otolaryngology—Head and Neck Surgery, Mount Sinai Beth Israel, New York, New York

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Martha J. Griffin BS,

Corresponding Author

Martha J. Griffin BS

[email protected]

orcid.org/0000-0001-5666-3602

THANC (Thyroid, Head and Neck Cancer) Foundation, New York, New York

Correspondence

Martha J. Griffin, THANC Foundation, 10 Union Square E, Suite 5B, New York, NY 10003.

Email: [email protected]

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John R. Sims MD,

John R. Sims MD

Department of Otolaryngology—Head and Neck Surgery, Mount Sinai Beth Israel, New York, New York

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Sarah L. Spaulding BS,

Sarah L. Spaulding BS

THANC (Thyroid, Head and Neck Cancer) Foundation, New York, New York

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Fred M. Baik MD,

Fred M. Baik MD

Department of Otolaryngology—Head and Neck Surgery, Mount Sinai Beth Israel, New York, New York

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Ebrahim Elahi MD, FACS,

Ebrahim Elahi MD, FACS

Department of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, New York

Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, New York

Search for more papers by this author

Mark L. Urken MD, FACS,

Mark L. Urken MD, FACS

THANC (Thyroid, Head and Neck Cancer) Foundation, New York, New York

Department of Otolaryngology—Head and Neck Surgery, Mount Sinai Beth Israel, New York, New York

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First published: 13 December 2019

https://doi.org/10.1002/hed.26015

Correction added on 27 December 2019, after first online publication: Fred M. Baik and Ebrahim Elahi's author affiliations have been updated. Author affiliation 3 has been added, and author affiliation 4 has been renumbered.

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Abstract

Background

Reconstruction of orbit-sparing palatomaxillary defects requires consideration of globe dystopia, orbital volume, eyelid position and function, and the nasolacrimal system to preserve and optimize vision, globe protection, and appearance. We describe the fundamentals of orbital and eyelid anatomy, common orbital complications related to palatomaxillary reconstruction, and preemptive and corrective surgical techniques to be utilized during and after globe-sparing palatomaxillary reconstruction.

Methods

We present a review of the literature supplemented by clinical case examples.

Results

We advocate for the use of preemptive and corrective techniques to ensure optimal aesthetic and functional outcomes for patients with orbital defects.

Conclusions

Recognition and anticipation of problems in patients undergoing midface ablative and reconstructive procedures are vital to the implementation of corrective measures. Incision choice, orbital volume restoration, appropriate orbital floor reconstruction, and permanent or temporary lower eyelid suspension during the primary surgery can all significantly impact the development of long-term orbital complications.

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Volume42, Issue3

March 2020

Pages 556-568

Management of orbital complications in palatomaxillary reconstruction: A review of preemptive and corrective measures

Abstract

Background

Methods

Results

Conclusions

REFERENCES

References

Information

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Management of orbital complications in palatomaxillary reconstruction: A review of preemptive and corrective measures

Abstract

Background

Methods

Results

Conclusions

REFERENCES

References

Related

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