Publication
Orbital Exenteration for Eyelid Skin Carcinoma
| dc.contributor.author | Guerra, AS | |
| dc.contributor.author | Barbosa, R | |
| dc.contributor.author | Choupina, M | |
| dc.contributor.author | Pinho, C | |
| dc.contributor.author | Ribeiro, M | |
| dc.contributor.author | Pontes, L | |
| dc.date.accessioned | 2011-11-21T17:21:43Z | |
| dc.date.available | 2011-11-21T17:21:43Z | |
| dc.date.issued | 2011 | |
| dc.description.abstract | Exenteration of the orbit is a disfiguring and destructive procedure; it is generally performed for orbital malignancies and often provides a significant reconstructive challenge. Our purpose was to evaluate the clinical indications for orbital exenteration in a tertiary referral center and to assess the reconstructive options employed. A retrospective nonrandomized analysis was performed, selecting all patients undergoing orbital exenteration over a 5-year period, between January 2005 and January 2010. Patient demographics, tumor characteristics, and reconstructive techniques used were evaluated. Twenty patients with a mean age of 76.5 years underwent total orbital exenteration. Basal cell carcinoma was the main operative indication (45%), followed by squamous cell carcinoma (15%). Reconstructive techniques included cover of the raw orbital cavity with a temporal muscular flap in all cases followed with split skin grafting (25%), bilaterally pedicle V-Y advancement flap (10%) and a fasciocutaneous island flap of the retroauricular region (65%). Twenty percent of patients had local complications and all were treated in a satisfactory fashion. Eyelid skin tumors remain an important cause of orbital exenteration. Temporal muscle flap is a reliable and stable reconstructive solution after orbital exenteration and additional aid is supplied with skin grafts or local flaps. This technique ensures a good aesthetic outcome and better situation for later complementary treatments and minimal associated donor site morbidity. | por |
| dc.identifier.citation | Eur J Plast Surg 2011; 34: 239-243 | por |
| dc.identifier.uri | http://hdl.handle.net/10400.17/516 | |
| dc.language.iso | eng | por |
| dc.peerreviewed | yes | por |
| dc.publisher | Springer | por |
| dc.subject | Doenças Orbitárias | por |
| dc.subject | Procedimentos Cirúrgicos Reconstrutivos | por |
| dc.title | Orbital Exenteration for Eyelid Skin Carcinoma | por |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 243 | por |
| oaire.citation.startPage | 239 | por |
| oaire.citation.title | European Journal of Plastic Surgery | por |
| rcaap.rights | openAccess | por |
| rcaap.type | article | por |