Download PDF
Semin Plast Surg 2019; 33(02): 103-105
DOI: 10.1055/s-0039-1685209
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Considerations in Orbital Exenteration

Mofiyinfolu Sokoya
1   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
,
Jason E. Cohn
2   Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania
,
Scott Kohlert
1   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
,
Thomas Lee
3   Department of Otolaryngology Head/Neck Surgery, Virginia Commonwealth University School of Medicine, Virginia
,
Sameep Kadakia
4   Department of Plastic and Reconstructive Surgery, Wright State University, Dayton, Ohio
,
Yadranko Ducic
1   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
26 April 2019 (online)

Also available at
    Permissions and Reprints

Abstract

Orbital exenteration (OE) is a radical operation associated with significant psychosocial disability and functional impairment. Indications for OE include primary tumors of the eye, oral cavity, paranasal sinuses, skin, and brain. Careful consideration regarding the likelihood of local control and cure is needed before proceeding with this operation. Multidisciplinary work-up should be performed before proceeding with surgery. The method of reconstruction after OE should be tailored to the defect and the postoperative needs of the patient. Appropriate follow-up and rehabilitation should be arranged for the patient.

Keywords

orbital exenteration - orbital invasion - globe resection

Financial Disclosure

None.


 

  • References

  • 1 Kesting MR, Koerdt S, Rommel N. , et al. Classification of orbital exenteration and reconstruction. J Craniomaxillofac Surg 2017; 45 (04) 467-473
    CrossrefPubMedGoogle Scholar
  • 2 López F, Suárez C, Carnero S, Martín C, Camporro D, Llorente JL. Free flaps in orbital exenteration: a safe and effective method for reconstruction. Eur Arch Otorhinolaryngol 2013; 270 (06) 1947-1952
    CrossrefPubMedGoogle Scholar
  • 3 Gaisford JC, Hanna DC. Orbital exenteration. Plast Reconstr Surg 1963; 31: 363-369
    CrossrefPubMedGoogle Scholar
  • 4 Pryor SG, Moore EJ, Kasperbauer JL. Orbital exenteration reconstruction with rectus abdominis microvascular free flap. Laryngoscope 2005; 115 (11) 1912-1916
    CrossrefPubMedGoogle Scholar
  • 5 Savage RC. Orbital exenteration and reconstruction for massive basal cell and squamous cell carcinoma of cutaneous origin. Ann Plast Surg 1983; 10 (06) 458-466
    CrossrefPubMedGoogle Scholar
  • 6 Rahman I, Cook AE, Leatherbarrow B. Orbital exenteration: a 13 year Manchester experience. Br J Ophthalmol 2005; 89 (10) 1335-1340
    CrossrefPubMedGoogle Scholar
  • 7 Serrano NA, Trenité GN, Yueh B, Farwell DG, Futran ND, Méndez E. Risk factors associated with repair of orbital and lateral skull defects. Arch Facial Plast Surg 2012; 14 (02) 97-103
    CrossrefPubMedGoogle Scholar
  • 8 Weizman N, Horowitz G, Gil Z, Fliss DM. Surgical management of tumors involving the orbit. JAMA Otolaryngol Head Neck Surg 2013; 139 (08) 841-846
    CrossrefPubMedGoogle Scholar
  • 9 Catalano PJ, Laidlaw D, Sen C. Globe sparing orbital exenteration. Otolaryngol Head Neck Surg 2001; 125 (04) 379-384
    CrossrefPubMedGoogle Scholar
  • 10 Hargrove RN, Wesley RE, Klippenstein KA, Fleming JC, Haik BG. Indications for orbital exenteration in mucormycosis. Ophthal Plast Reconstr Surg 2006; 22 (04) 286-291
    CrossrefPubMedGoogle Scholar
  • 11 Zuniga MG, Turner JH. Treatment outcomes in acute invasive fungal rhinosinusitis. Curr Opin Otolaryngol Head Neck Surg 2014; 22 (03) 242-248
    CrossrefPubMedGoogle Scholar
  • 12 di Maria A, Balia L, Poletti AM, Colombo G, Romano M. Orbital exenteration: our experience. Tumori 2016; 102 (05) 533-535
    CrossrefPubMedGoogle Scholar
  • 13 Kuo CH, Gao K, Clifford A, Shannon K, Clark J. Orbital exenterations: an 18-year experience from a single head and neck unit. ANZ J Surg 2011; 81 (05) 326-330
    CrossrefPubMedGoogle Scholar
  • 14 Kennedy RE. Indications and surgical techniques for orbital exenteration. Adv Ophthalmic Plast Reconstr Surg 1992; 9: 163-173
    PubMedGoogle Scholar
  • 15 Fagan J. Total maxillectomy, orbital exenteration. In: Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. 2017: 1-19 . Available at: http://www.entdev.uct.ac.za/guides/open-access-atlas-of-otolaryngology-head-neck-operative-surgery/
    Google Scholar
  • 16 Nemet AY, Martin P, Benger R. , et al. Orbital exenteration: a 15-year study of 38 cases. Ophthal Plast Reconstr Surg 2007; 23 (06) 468-472
    CrossrefPubMedGoogle Scholar
  • 17 Goldberg RA, Kim JW, Shorr N. Orbital exenteration: results of an individualized approach. Ophthal Plast Reconstr Surg 2003; 19 (03) 229-236
    CrossrefPubMedGoogle Scholar
  • 18 Shields JA, Shields CL, Demirci H, Honavar SG, Singh AD. Experience with eyelid-sparing orbital exenteration: the 2000 Tullos O. Coston Lecture. Ophthal Plast Reconstr Surg 2001; 17 (05) 355-361
    CrossrefPubMedGoogle Scholar
  • 19 Frezzotti R, Bonanni R, Nuti A, Polito E. Radical orbital resections. Adv Ophthalmic Plast Reconstr Surg 1992; 9: 175-192
    PubMedGoogle Scholar