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Advanced Plastic Surgical Techniques: Facial Prosthetic Considerations, Periorbital Free Flaps, Reanimation, and Corneal Sensory Restoration

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Pediatric Oculoplastic Surgery

Abstract

Orbital deformities, especially when associated with an absence of the ocular globe, are difficult to conceal and often cause profound difficulties in children. Restoration of facial form and aesthetics can be readily achieved with combinations of surgical reconstruction and a well-made ocular or orbital prosthesis. A multispecialty approach with extensive communication between the patient and family is necessary to plan the appropriate long-term goals. Microsurgical free tissue transfer techniques can offer a variety of tissues for the appropriate replacement or augmentation of missing or deficient tissues. Furthermore, microsurgical reconstruction can provide a number of composite flaps in a single operation without the need for staging. This chapter emphasizes both the use of microsurgery in reconstructing the periorbital region in children and the surgical preparation of the facial defect for a facial prosthesis, as well as describing the prosthetic considerations important for successful rehabilitation of patients with periorbital defects.

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Author information

Authors and Affiliations

  1. Division of Plastic Surgery, Perelman School of Medicine at the University of Pennsylvania, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Oksana A. Jackson & David W. Low

  2. Division of Plastic and Reconstructive Surgery, Children’s Hospital of Philadelphia, Perelman School of Medicine at University of Pennsylvania, Philadelphia, PA, USA

    Phuong D. Nguyen

  3. Restorative Dentistry, Removable Prosthodontics, Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA

    Kenneth Kent

Authors
  1. Oksana A. Jackson
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  2. David W. Low
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  3. Phuong D. Nguyen
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  4. Kenneth Kent
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Corresponding author

Correspondence to Oksana A. Jackson .

Editor information

Editors and Affiliations

  1. Professor Emeritus of Ophthalmology and Director of Oculoplastic and Orbital Surgery, The Children’s Hospital of Philadelphia and The Edwin and Fannie Gray Hall Center for Human Appearance, Perelman School of Medicine at the University of Pennsylvania , Philadelphia, Pennsylvania, USA

    James A. Katowitz

  2. Associate Professor of Clinical Ophthalmology and Director of the Oculoplastic and Orbital Surgery Fellowship Program, The Children’s Hospital of Philadelphia and The Edwin and Fannie Gray Hall Center for Human Appearance, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA

    William R. Katowitz

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Jackson, O.A., Low, D.W., Nguyen, P.D., Kent, K. (2018). Advanced Plastic Surgical Techniques: Facial Prosthetic Considerations, Periorbital Free Flaps, Reanimation, and Corneal Sensory Restoration. In: Katowitz, J., Katowitz, W. (eds) Pediatric Oculoplastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-60814-3_8

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  • DOI: https://doi.org/10.1007/978-3-319-60814-3_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60812-9

  • Online ISBN: 978-3-319-60814-3

  • eBook Packages: MedicineMedicine (R0)

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