Akademik Veri Yönetim Sistemi
European Journal of Plastic Surgery, cilt.36, sa.2, ss.69-74, 2013 (SCI-Expanded, ESCI, Scopus)
Background: Orbital exenteration is a surgical procedure which typically involves removal of the entire contents of the orbit including the periorbit, appendages, eyelids and, sometimes, a varying amount of surrounding skin. This operation is reserved for the treatment of potentially life-threatening malignancies arising from the orbit, paranasal sinuses or periocular skin. We have reviewed the cases that underwent orbital exenteration and reconstructive techniques for closing the defect. Methods: Twenty-six patients, who underwent orbital exenteration from April 2001 to September 2010, were retrospectively analyzed, and data including patient demographics, tumor location and characteristics were collected. The reconstructive techniques were reviewed. Results: The study consisted of 16 males and 10 females with a mean age of 68.8 years (range 50 to 89 years). Fourteen left and 12 right exenterations were performed. The location of the tumor was most commonly at the medial canthus followed by the lateral canthus, nose, eyelids and cheek. Twenty-one out of 26 cases (80.76 %) were basal cell carcinomas and the remaining (19.23 %) were squamous cell carcinomas. Reconstructive techniques included superficial temporal artery-based forehead flap (73.07 %), the scalp flap (11.53 %), and the latissimus dorsi free flap (15.58 %). Conclusions: Among various options available for the reconstruction of the orbital exenteration, the superficial temporal artery-based forehead flap is a relatively simple one and the final outcome, according to our experience, is comparable to that of more complex flap procedures, providing an acceptable cosmetic result with minimal donor site morbidity and short operating time. Level of Evidence: Level IV, therapeutic study. © 2012 Springer-Verlag.