Functional and Aesthetic Outcomes of Fricke flap in Periorbital Reconstruction – A Retrospective Study

Abstract

The reconstruction of the periorbital tissue defects is often challenging due to its complex anatomy. A wide variety of reconstruction options were implemented based upon aesthetic unit, type of defect and skill of surgeon. Fricke flap is a laterally based monopedicled flap used to reconstruct eyelid and periorbital defects. The study evaluates the aesthetic and functional outcome of Fricke flap in patients who underwent periorbital reconstruction at Saveetha Medical College & Hospital. The post-operative record of 20 patients with lateral periorbital defect treated with Fricke flap were analyzed to grade the outcome. 70% of the patients had history of immediate trauma. The primary management after debridement with Fricke flap yields better esthetic (70%) and functional outcome (90%). Case illustration of two patients have been provided who underwent immediate periorbital reconstruction post soft tissue injury due to RTA.  The study was conclusive of Fricke flap as a valuable and simple model in periorbital reconstruction.