title: Orbital exenteration and periorbital skin cancers.
abstract: OBJECTIVE
  Orbital exenteration is a disfiguring surgical procedure that requires thoughtful reconstruction.
  
  
  METHODS
  We analyzed all cases of orbital exenteration done in our department since 1998.
  
  
  RESULTS
  A total of 26 patients had undergone surgery during our study period, and 27 exenterations have been conducted since 1998. The reconstruction was performed in 20 patients using an ipsilateral temporal muscle flap. One patient underwent reconstruction using a temporalis fascia flap and 6 using free flaps. A total of 11 patients received postoperative radiotherapy. Data collection revealed 6 patients with an ocular prosthesis. The prosthesis had either been glued or mounted onto glasses.
  
  
  CONCLUSIONS
  Analyzing our results and the published data, we found that the reconstruction mode influences prosthetic rehabilitation. Thus, we have identified 2 categories. In the first category, postoperative radiotherapy will be required and coverage with a flap will be needed. In the second category, postoperative radiotherapy is not indicated and thus the healing time might be extended in favor of more space for better retention of the prosthetic rehabilitation.
authors.affiliation: Doctor, Department of Plastic, Reconstructive and Aesthetic Surgery, Roger Salengro Hospital, University Hospitals of Lille, Lille, France. Electronic address: aqassemyar@gmail.com.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Qassemyar
authors.affiliation: Doctor, Department of Plastic, Reconstructive and Aesthetic Surgery, Roger Salengro Hospital, University Hospitals of Lille, Lille, France; and Department of Plastic, Reconstructive and Aesthetic Surgery, King Fahad Hospital (MOH), Jeddah, Saudi Arabia.
authors.forename: Nawaf
authors.initials: N
authors.lastname: Aljudaibi
authors.affiliation: Doctor, Department of Ophthalmology, Claude Huriez Hospital, University Hospitals of Lille, Lille, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Wavreille
authors.affiliation: Professor, Department of Dermatology, Claude Huriez Hospital, University Hospitals of Lille, Lille, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Mortier
authors.affiliation: Professor, Department of Plastic, Reconstructive and Aesthetic Surgery, Roger Salengro Hospital, University Hospitals of Lille, Lille, France.
authors.forename: Véronique
authors.initials: V
authors.lastname: Martinot-Duquennoy
authors.affiliation: Doctor, Department of Plastic, Reconstructive and Aesthetic Surgery, Roger Salengro Hospital, University Hospitals of Lille, Lille, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Guerreschi
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005137:Eye, Artificial; D005142:Eyelid Neoplasms / Q000601:surgery; D005153:Facial Neoplasms / Q000601:surgery*; D005205:Fascia / Q000637:transplantation; D005260:Female; D005500:Follow-Up Studies; D058752:Free Tissue Flaps / Q000637:transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology; D017233:Orbit Evisceration / Q000534:rehabilitation*; D009918:Orbital Neoplasms / Q000556:secondary; D018714:Radiotherapy, Adjuvant; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012878:Skin Neoplasms / Q000601:surgery*; D013703:Temporal Muscle / Q000637:transplantation; D055815:Young Adult