Facial plast Surg 1999; 15(4): 297-302
DOI: 10.1055/s-2008-1064330
© 1999 by Thieme Medical Publishers, Inc.

Reconstruction of Major Orbital-Maxillary Defects with Free Latissimus Dorsi Myocutaneous Flap

Renato Piantanida, Raffaele Roselli, Raul Pellini, Fulvio Ferrario, Piero Boschini, Giuseppe Spriano
  • Department of Otorhinolaryngology, Ospedale di Circolo, Varese, Italy
Further Information

Publication History

Publication Date:
02 June 2008 (online)


Reconstruction following excision of tumors of the orbital-maxillary region represents a challenge to the head and neck surgeons. Microvascular techniques have significantly improved the possibilities of an adequate three-dimensional repair. Among the different available options, the latissimus dorsi myocutaneous flap (LDMF) has been considered, as it seems to fulfill the requirements for a functional obliterations of the orbital-maxillary cavity and to restore the facial contour. Two cases of large orbital-maxillary defects repaired with a LDMF are reported; in one of them the intraoral palatal competence and lining were achieved through a temporalis muscle flap. Technical remarks are presented and discussed as well as the indications and possibilities for more sophisticated reconstructions, aimed at a better cosmetic outcome.