An Algorithmic Approach to Reconstructive Surgery and Prosthetic Rehabilitation after Orbital Exenteration

Abstract

The reconstructive method should be tailored to the defect and the patient's needs. When a prosthetic is planned, the goal should be to create an open cavity with a skin graft, regional flap, or thin free flap. Bulky free flaps are indicated when a closed cavity is preferred, such as when no prosthetic is planned or the defect is extensive.