Surgical management of tumors involving the orbit.
OBJECTIVE
Surgical treatment of orbital tumors is a complex task that requires thorough preparation and precise planning. Since a large variety of tumors of different origins, anatomical extents, and histologic subtypes affect the globe, no "1-size-fits-all" approach can be offered.


OBJECTIVE
To describe an integrative approach for the optimal surgical management of patients with orbital tumors based on a review of the literature and on our own experience at a high-volume cancer center.


METHODS
Peer-reviewed English-language literature and a single-center cohort of patients undergoing orbital exenteration with eye sparing, reconstruction, and preservation of orbital function.


RESULTS
Surgical treatment of orbital tumors is a complex task that requires thorough preparation and precise planning that would be aided by an algorithm.


CONCLUSIONS
We offer an algorithm that summarizes our approach toward the 2 main decision points of orbital surgery: extent of resection and method of reconstruction.
Department of Otolaryngology-Head and Neck and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Israel.
Noam
N
Weizman
Gilad
G
Horowitz
Ziv
Z
Gil
Dan M
DM
Fliss
D000465:Algorithms; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009915:Orbit / Q000473:pathology / Q000601:surgery; D017233:Orbit Evisceration / Q000009:adverse effects / Q000379:methods*; D009918:Orbital Neoplasms / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000503:physiopathology / Q000628:therapy; D011300:Preoperative Care / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology