AI Article Synopsis

  • The paper discusses the complexities of microvascular reconstruction for the orbit and nearby areas, emphasizing the importance of a checklist for reconstructive surgeons.
  • It is based on a literature review of case series and reports, alongside the author's extensive experience in the field.
  • A holistic approach is proposed where both patient-related factors and defect-related considerations are crucial in choosing the right reconstructive method, alongside the introduction of new technologies.

Article Abstract

This paper aims to discuss the microvascular reconstruction of the orbit and adjacent regions and to propose a checklist to aid the reconstructive surgeon in this challenging undertaking. The discussion is based on a literature review that includes 32 retrospective case series, 5 case reports published in the last 34 years in PubMed, and 3 textbook chapters. Additionally, it relies on the senior author's expertise, described in a case series, and two case reports published elsewhere. Classifications and treatment algorithms on microvascular orbit reconstruction generally disregard patient-related factors. A more holistic approach can be advantageous: patient-related factors, such as age, comorbidities, prognosis, previous interventions, radiotherapy, and the wish for maximal dental rehabilitation and a prosthetic eye, have the same importance as defect-related considerations and can inform the choice of a reconstructive option. In this manuscript, we examine defect- and patient-related factors and new technologies, provide a checklist, and examine future directions. The checklist is intended as a tool to aid in the decision-making process when reconstructing the orbital region with microvascular flaps.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11122336PMC
http://dx.doi.org/10.3390/jcm13102899DOI Listing

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