title: Critical analysis of methods of reconstruction of exenterated orbits.
abstract: Reconstructive procedures were used on 14 patients who had undergone orbital exenteration and radiotherapy for malignant tumours. All patients were tumour free after a follow-up of between 5 and 18 years. Reconstruction was carried out in 3 stages. In the first operation the orbit was filled, in the second the orbital rims and eyelids were shaped, and in the third a cavity for a static eye prosthesis was created. Critical assessment of results showed that the first stage alone produced a marked improvement in appearance and occluded existing fistulae. The subsequent procedures improved aesthetic results further. Difficulties were encountered from retraction of the tissues and insufficient tissue mobility.
authors.affiliation: Department of Head and Neck Surgery, A.C. Camargo Hospital, Antonio Prudente Foundation, São Paulo, Brazil.
authors.forename: A
authors.initials: A
authors.lastname: Marques
authors.forename: E
authors.initials: E
authors.lastname: Brenda
authors.forename: J
authors.initials: J
authors.lastname: Magrin
authors.forename: L P
authors.initials: LP
authors.lastname: Kowalski
authors.forename: J M
authors.initials: JM
authors.lastname: Andrews
mesh_terms: D002648:Child; D002675:Child, Preschool; D005134:Eye Neoplasms / Q000532:radiotherapy / Q000601:surgery; D005137:Eye, Artificial; D005138:Eyebrows / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009915:Orbit / Q000601:surgery*; D017233:Orbit Evisceration; D012175:Retinoblastoma / Q000532:radiotherapy / Q000601:surgery; D012208:Rhabdomyosarcoma / Q000532:radiotherapy / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods*; D013997:Time Factors