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Scientific Oral Presentations

Facial Plastic and Reconstructive Surgery

Session: Scientific Oral Presentations 3 - Facial Plastic and Reconstructive Surgery

“Ice Cream Cone" Design of Forearm Free Flap for Orbital Exenteration Reconstruction: A French Cohort

Tuesday, October 1, 2024
11:24 AM – 11:30 AM EDT
Location: MBCC, 222
Disclosure(s):
Joey Martin, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Olivier Choussy, head of oncological department:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Introduction: Reconstruction post-orbital exenteration serves the dual purpose of expediting healing, laying the groundwork for cosmetic restoration, and minimizing complications such as orbitosinusal fistulae. The aim of this study was to introduce a modified "Ice cream cone" design of the Radial Forearm Free Flap (RFFF) technique used for coverage at the site of orbital exenteration, along with the oncological, functional, and aesthetic outcomes of a French cohort.

Methods: The authors conducted a retrospective study between January 2005 and December 2020. Inclusion criteria encompassed patients treated for orbitosinusal malignancies undergoing exenteration with subsequent RFFF "Ice cream cone" reconstruction.

Results: Twenty-two patients underwent exenteration with the modified RFFF "Ice cream cone" design. The mean follow-up duration was 23.36 months (SD 17.6). At the follow-up conclusion, 65% of patients regularly used orbital prosthesis. The average waiting time until the prosthesis was 10 months. Quality of life questionnaires yielded average RFFF POSAS scores of 23.5 (SD 13,6), cervical POSAS scores of 8 (SD 13,2), and orbital cavity rehabilitation scores of 5.9 (SD: 3,32).

Conclusions: "Ice cream cone" design of RFFF is a dependable technique. It can be proposed in cases of extended exenteration with a high risk of cerebrospinal fluid (CSF) but more generally in cases of total exenteration. This technique facilitates optimal postoperative wound healing and accommodates early radiotherapy. Importantly, the bowl-shaped aspect of the orbital socket supports effective prosthetic rehabilitation for patients opting for orbital prosthesis post-surgery.

    Presenting Author(s)

  • Joey Martin, MD

    MD PhD Student
    Curie Institut
    PARIS, Ile-de-France, France

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

    • Co-Author(s)

  • BS

    Baptiste Sabran, MD

    Curie Institut, United States

    Disclosure information not submitted.

  • RB

    Robin Baudouin, MD

    Foch Hospital, United States

    Disclosure information not submitted.

  • AD

    Antoine Dubray-Vautrin, MD

    MD
    institut Curie, United States

    Disclosure information not submitted.

  • ML

    Maria Lesnik, MD

    MD
    institut Curie, United States

    Disclosure information not submitted.

  • WG

    Wahib Ghanem, MD

    MD
    institut Curie, United States

    Disclosure information not submitted.

    • Presenting Author(s)

  • GR

    Guillaume Rougier, MD

    MD
    institut Curie, United States

    Disclosure information not submitted.

    • Co-Author(s)

  • Olivier Choussy, MD, PhD

    head of oncological department
    Institut Curie
    Paris, Ile-de-France, France

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

    • Senior Author(s)

  • NB

    Nathalie Badois, MD

    MD
    institut Curie, United States

    Disclosure information not submitted.


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