Abstract
The objective of this study was to examine the role of cheek rotation flaps in the
reconstruction of orbital defects after exenteration. From January 2000 to August
2018, patients undergoing orbital exenteration and reconstruction with cheek rotation
flaps were enrolled in this retrospective study. All patients were evaluated for wound
complications, orbital rehabilitation, tumor relapse, and survival. Thirty patients
completed the study. Fourteen complications allocated to 11 patients were assessed.
The most common complications were seroma (13%), temporary facial nerve weakness (13%),
and partial necrosis of the flap (10%). A major complication occurred in a total of
two patients (7%), so that surgical correction was necessary. Eleven patients had
a relapse; 15 patients died as part of the follow-up. Fifteen patients were treated
with facial prostheses. The overall survival rate was 61% after 1 year and 42% after
5 years. Follow-up periods ranged from 6 to 95 months. Cheek rotation flap reconstruction
after exenteration is a reliable method with a low rate of major complications. It
is indicated when an approach to the parotid gland or the neck region is necessary
because of suspected lymph node metastasis and in elderly patients because of their
skin's laxity. It can be performed as primary or secondary reconstruction. Good esthetic
results can be achieved, especially after endosseous implantation.
Keywords
cheek rotation flap - orbital exenteration - reconstruction - complications - survival
