Complete orbit and forehead reconstruction using a free latissimus dorsi flap and MEDPOR implants.

Background: Reconstruction of enormous composite defects of the face in the presence of meningitis is a difficult problem. We present a case of a 29-year-old man with a huge, posttraumatic bone and soft tissue defect of the upper half of the left side of the face (orbit-zygoma-frontal-partial temporal bones), frontal lobe of the brain, and enucleated eye with intact facial skin.

Methods: An initial reconstruction using cement was complicated by multiple episodes of meningitis.