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Orbital Exenteration

  • Raymond I. Cho
  • Alon Kahana
Chapter

Abstract

Orbital exenteration is defined as the surgical excision of the ocular globe, orbital soft tissues, and ocular adnexa. Total exenteration entails removing the orbital contents in their entirety, whereas a subtotal exenteration spares some portion of the posterior orbital soft tissues. In extended exenteration, removal of bone and/or adjacent structures is also performed. Because the operation results in permanent vision loss and significant facial deformity, it is usually reserved for the treatment of life-threatening or progressively destructive disease processes, such as high-grade or advanced malignancies or invasive infections. In cases where exenteration is contemplated, consideration should be given to management alternatives, including medical therapy and chemotherapy, radiation therapy, or observation.

Keywords

Adenoid Cystic Carcinoma Nasolacrimal Duct Orbital Floor Orbital Roof Orbital Exenteration 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Ophthalmology Service, San Antonio Military Medical CenterFort Sam HoustonHoustonUSA
  2. 2.Eye Plastic and Orbital Surgery Service, Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, Comprehensive Cancer Center, C.S. Mott Children’s HospitalUniversity of MichiganAnn ArborUSA

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