Orbital exenteration is executed by the ophthalmic ..

In the reconstruction of facial defects, there are two competing approaches: transplantation of body tissue and the use of foreign material. Most clinics prefer either the one or the other technique, which makes comparison difficult. At the Frankfurt University Medical School since 1992, cases of plastic surgical and prosthetic reconstruction of particularly difficult regions after orbital exenteration (n = 13) and total auricular loss (n=5) were examined in relation to the medical literature, in order to enable a critical evaluation. Today, facial prostheses still are esthetically superior to plastic surgical reconstructions and need much less time and interventions. Age and general condition of a patient are important for the decision. In the case ofthe auricle, autologous reconstruction is preferred whenever possible. While facial prostheses are seen today in many cases as a practical means of rehabilitation which can help the heavily disfigured patient at short notice, the future, however, lies with autologous replacement despite the larger amount of work required.

Orbital exenteration for advanced periorbital skin …

Orbital exenteration This operation removes the eyeball and surrounding tissues of the orbit

Orbital exenteration for advanced periorbital skin cancers: ..

BACKGROUND: The authors' goal was to describe an algorithm for surgical reconstruction and prosthetic rehabilitation after orbital exenteration. METHODS: A review of 79 patients who underwent orbital exenteration between 1999 and 2007 was performed. Reconstructions were classified as resulting in an "open" cavity when a concave orbital socket facilitating prosthetic retention was created or a "closed" cavity when the orbit was filled with soft tissue to the level of the orbital rim. RESULTS: Reconstructive procedures included skin grafts (n = 18), regional flaps (n = 6), and microvascular free flaps (n = 55). Open cavities were created in 34 patients and closed cavities were created in 45 patients. Twenty-one patients (27 percent) experienced surgical complications. There were no significant differences in complication rates among various reconstructive techniques (skin graft versus regional flap versus free flap) or types of cavities created (open versus closed). Of the 17 patients who use prostheses, eight (47 percent) wear their prostheses regularly. Fourteen patients (82 percent) who received an orbital prosthesis had open cavities (p = 0.001). Thirty-nine percent of patients with a skin graft received orbital prostheses, and 17 percent with a regional flap and 15 percent with a free flap received orbital prostheses (p = 0.01). CONCLUSIONS: The reconstructive method should be tailored to the defect and the patient's needs. When a prosthetic is planned, the goal should be to create an open cavity with a skin graft, regional flap, or thin free flap. Bulky free flaps are indicated when a closed cavity is preferred, such as when no prosthetic is planned or the defect is extensive.

Orbital exenteration is the removal of the eye and ..

N2 - BACKGROUND: The authors' goal was to describe an algorithm for surgical reconstruction and prosthetic rehabilitation after orbital exenteration. METHODS: A review of 79 patients who underwent orbital exenteration between 1999 and 2007 was performed. Reconstructions were classified as resulting in an "open" cavity when a concave orbital socket facilitating prosthetic retention was created or a "closed" cavity when the orbit was filled with soft tissue to the level of the orbital rim. RESULTS: Reconstructive procedures included skin grafts (n = 18), regional flaps (n = 6), and microvascular free flaps (n = 55). Open cavities were created in 34 patients and closed cavities were created in 45 patients. Twenty-one patients (27 percent) experienced surgical complications. There were no significant differences in complication rates among various reconstructive techniques (skin graft versus regional flap versus free flap) or types of cavities created (open versus closed). Of the 17 patients who use prostheses, eight (47 percent) wear their prostheses regularly. Fourteen patients (82 percent) who received an orbital prosthesis had open cavities (p = 0.001). Thirty-nine percent of patients with a skin graft received orbital prostheses, and 17 percent with a regional flap and 15 percent with a free flap received orbital prostheses (p = 0.01). CONCLUSIONS: The reconstructive method should be tailored to the defect and the patient's needs. When a prosthetic is planned, the goal should be to create an open cavity with a skin graft, regional flap, or thin free flap. Bulky free flaps are indicated when a closed cavity is preferred, such as when no prosthetic is planned or the defect is extensive.

Orbital exenteration is executed by the ..

Orbital exenteration and placement of a prosthesis in fish

evisceration, or orbital exenteration