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[Eye socket reconstruction with free flap].

OBJECTIVE
To discuss the effect of eye reconstruction with free flap.


METHODS
Free flap was used in 21 patients of contracted eye socket and anophthalmos. The forearm free flap was utilized in 19 patients,the scapular flap in 2. Free flap with microvascular anastomoses was transferred into contracted eye socket. And hydroxyapatite implant was selectively inserted for intraorbital implantation according to the extent of contracted eye socket postoperation. Eye socket was reconstructed in one stage operation.


RESULTS
The flaps were transferred successfully in all patients. All patients were followed up between 4 to 42 months, better cosmetic results were achieved and well-fitted eye prosthesis was weaned.


CONCLUSION
Free flap is a useful alternative in treatment of severe contracted eye socket.