42 Exenteration
Book
Editors: Freitag, Suzanne K.; Lee, N. Grace; Lefebvre, Daniel R.; Yoon, Michael K.
Title: Ophthalmic Plastic Surgery
Subtitle: Tricks of the Trade
Print ISBN: 9781626238978; Online ISBN: 9781626238985; Book DOI: 10.1055/b-006-163725
2020 © 2020 Georg Thieme Verlag KG
Georg Thieme Verlag, Stuttgart
Subjects: Ophthalmology, Optometry;Plastic, Reconstructive and Cosmetic Surgery
Thieme Clinical Collections (English Language)
Summary
Orbital exenteration involves removal of the entire orbital contents. This radical disfiguring procedure is typically reserved for life-threatening malignancies or severe orbital infection or inflammation not amenable to medical treatment. Appropriate preoperative evaluation and surgical planning is tailored to each patient and the underlying condition. Surgical techniques range from total exenteration to eyelid-sparing and subtotal exenteration. Postexenteration socket reconstruction can be achieved by using a skin graft, myocutaneous advancement flap, dermal substitute, free flap, or a combination thereof. Patients can subsequently be fitted with an oculofacial prosthesis for improved cosmesis and comfort.