Orbital exenteration: results of an individualized approach.

Abstract:

PURPOSE:The authors report and evaluate their experience with an individualized approach to orbital exenteration. METHODS:Retrospective chart review was performed on a consecutive series of 25 orbital exenteration patients at a tertiary care center. The cases were classified into two groups for the retrospective analysis: Total exenteration procedures involved the removal of the entire orbital contents including the periorbita (13 cases), and subtotal procedures preserved at least a quadrant of the orbit or the orbital tissues posterior to the globe (12 cases). RESULTS:The total exenteration group had a lower rate of clear surgical margins and a higher rate of systemic metastasis, whereas patients in the subtotal exenteration group had fewer surgical complications and better functional and aesthetic results. CONCLUSIONS:The surgical planning for orbital exenteration should take into account the location, extent, and biological behavior of the orbital disease process and the reconstructive and prosthetic options for the exenterated socket. When an individualized approach to orbital exenteration is used, subtotal procedures can offer improved functional and aesthetic results while still maximizing the chances for a surgical cure.

authors

Goldberg RA,Kim JW,Shorr N

doi

10.1097/01.iop.0000066699.53489.88

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

229-36

issue

3

eissn

0740-9303

issn

1537-2677

pii

00002341-200305000-00012

journal_volume

19

pub_type

杂志文章
  • Porous implant exposure: Incidence, management, and morbidity.

    abstract:PURPOSE:To identify what factors may predispose patients to exposure of porous anophthalmic implants and to determine the outcome of exposed porous implants. METHODS:Examination of pooled data obtained through a PubMed literature search of English-language publications from 1989 through 2004 using the key words enucle...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.iop.0000249432.18688.ee

    authors: Custer PL,Trinkaus KM

    更新日期:2007-01-01 00:00:00

  • Differences in Wait Times for Cosmetic Blepharoplasty by ASOPRS Members.

    abstract:PURPOSE:Adequate access to subspecialty care is of concern to patients and physicians alike. One measure of availability is the wait time for cosmetic procedures. The authors investigated geographical differences in wait times for cosmetic upper eyelid blepharoplasty of American Society of Ophthalmic Plastic and Recons...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000922

    authors: Knezevic A,Yoon MK

    更新日期:2018-05-01 00:00:00

  • Utilization patterns for diagnostic imaging in the evaluation of epiphora due to lacrimal obstruction: a national survey.

    abstract:PURPOSE:To evaluate current physician patterns for diagnostic lacrimal imaging in patients with epiphora related to lacrimal obstruction. METHODS:An invitation was sent to members of the American Society of Ophthalmic Plastic and Reconstruction Surgeons in September 2008 to participate in a short web-based questionnai...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3181b8c747

    authors: Nagi KS,Meyer DR

    更新日期:2010-05-01 00:00:00

  • Orbital dermoid cyst and sinus tract presenting with acute infection.

    abstract::A 9-month-old infant presented with orbital cellulitis and recent discharge from a hair-bearing pit above the eyebrow. Orbital imaging demonstrated a tubular lesion and sinus tract extending from a hypoplastic sphenoid wing, through the lateral orbit, to the skin surface. Complete excision of the dermoid cyst and sinu...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.iop.0000144789.04263.19

    authors: Wells TS,Harris GJ

    更新日期:2004-11-01 00:00:00

  • Endovascular preoperative embolization of orbital hemangiopericytoma with n-butyl cyanoacrylate glue.

    abstract::Hemangiopericytoma is an uncommon neoplasm that may present in myriad locations, including the lower extremities, pelvic area, and the head and neck area, including the orbit. Orbital hemangiopericytoma is often described as synonymous with orbital solitary fibrous tumor, giant cell angiofibroma, and fibrous histiocyt...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3182a22bd8

    authors: Wallace KM,Alaraj A,Aakalu VK,Aletich V,Setabutr P

    更新日期:2014-07-01 00:00:00

  • Evolving Minimally Invasive Techniques for Tear Trough Enhancement.

    abstract:PURPOSE:The aim of this study is to investigate whether volumetric enhancement of the infraorbital rim area or, alternatively, of the deep medial cheek, results in greater improvement of tear trough deformity. METHODS:This prospective, single-blind study recruited 12 patients seeking correction of tear trough deformit...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/IOP.0000000000000325

    authors: Hill RH 3rd,Czyz CN,Kandapalli S,Zhang-Nunes SX,Cahill KV,Wulc AE,Foster JA

    更新日期:2015-07-01 00:00:00

  • Use of Vicryl (polyglactin-910) mesh implant for correcting enophthalmos and hypo-ophthalmos. A study of 16 patients.

    abstract::Vicryl mesh (polyglactin-910) implants were used to reconstruct the orbital floor to correct enophthalmos or hypo-ophthalmos (globe ptosis) in 16 patients. The main advantages of Vicryl mesh over other alloplastic implants is that (a) it is absorbed by host tissue, and, once absorbed, it will not cause long-term compl...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00002341-199012000-00004

    authors: Mauriello JA Jr,McShane R,Voglino J

    更新日期:1990-01-01 00:00:00

  • Direct orbital manometry in healthy patients.

    abstract:PURPOSE:To determine orbital tissue tension and orbital compartment compliance in normal patients. METHODS:An orbital manometer was designed to directly measure orbital tissue tension before, during, and after a 5-ml retrobulbar injection of anesthetic in patients undergoing ocular surgery. Tissue tension was recorded...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00002341-199903000-00010

    authors: Riemann CD,Foster JA,Kosmorsky GS

    更新日期:1999-03-01 00:00:00

  • Diagnostic Approaches to Metastatic Hepatocellular Carcinoma of the Orbit.

    abstract::Orbital metastasis of hepatocellular carcinoma is exceedingly rare and caries a grave prognosis. Three cases of metastatic orbital hepatocellular carcinoma in which the primary tumor was initially unknown and the diagnostic challenges encountered are presented. With hepatocellular carcinoma, open biopsy and palliative...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000641

    authors: Geske MJ,Bloomer MM,Kersten RC,Vagefi MR

    更新日期:2017-05-01 00:00:00

  • Programmed Death-1 Pathway in Orbital Invasion of Cutaneous Carcinomas.

    abstract:PURPOSE:The programmed death-1 pathway negatively regulates the immune system. Previous reports have indicated worse tumor-related outcomes with increased expression of the ligand for this pathway. This study was undertaken to assess the role of the PD pathway in cutaneous malignancies that invade the orbit. METHODS:I...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000880

    authors: Wladis EJ,Lee JA,Carlson JA,Martino N,Adam AP

    更新日期:2018-03-01 00:00:00

  • Fate of primary orbital dermis-fat grafts in guinea pigs.

    abstract::A year-long study was undertaken to serially evaluate the tissue changes occurring in dermis-fat graft (DFG) after orbital implantation in nine guinea pigs. Methods used to evaluate the DFGs were histology, magnetic resonance imaging, morphometric analysis, and clinical observations. The histology of a 1-year-old fail...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00002341-198804040-00001

    authors: Smith BR,Beyer-Machule CK,Cheng HM,Pitts WC

    更新日期:1988-01-01 00:00:00

  • Endocrine Mucin-Producing Sweat Gland Carcinoma of the Eyelid Associated With Mucinous Adenocarcinoma.

    abstract::Endocrine mucin-producing sweat gland carcinoma, a rare, low-grade neoplasm with predilection for the eyelids, has been posited as a precursor to invasive mucinous adenocarcinoma. Endocrine mucin-producing sweat gland carcinoma and its concurrence with mucinous adenocarcinoma have received little attention in the opht...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000001002

    authors: Charles NC,Proia AD,Lo C

    更新日期:2018-03-01 00:00:00

  • Intracranial paraganglioma (glomus tumor) with orbital extension.

    abstract:PURPOSE:To describe the clinical features of an intracranial glomus tumor with orbital extension. METHODS:Case report. RESULTS:A 15-year-old girl was examined for a large, vascular intracranial mass extending into the orbit. Attempted orbital biopsy was aborted for fear of uncontrollable hemorrhage. Tumor embolizatio...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00002341-200111000-00015

    authors: Laquis SJ,Vick V,Haik BG,Fleming JC,Wilson MW

    更新日期:2001-11-01 00:00:00

  • Normal exophthalmometry measurements in a United States pediatric population.

    abstract:PURPOSE:The normal distribution of exophthalmometry measurements in a U.S. pediatric population was determined as a reference for clinical practice. METHODS:This was a cross-sectional study, in which 673 normal subjects, between 1 and 17 years of age, randomly selected from patients presenting to our institution, were...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3182392f05

    authors: Dijkstal JM,Bothun ED,Harrison AR,Lee MS

    更新日期:2012-01-01 00:00:00

  • Anterior canthal tendon release for correction of the centurion syndrome.

    abstract:PURPOSE:To investigate the effectiveness of anterior canthal tendon release in the management of centurion syndrome. METHODS:Four patients diagnosed as having the centurion syndrome were treated over a period of 3 years. They all underwent bilateral anterior canthal tendon release under local anesthesia. RESULTS:None...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.IOP.0000096160.82046.99

    authors: Ma'luf RN,Bashshur ZF,Noureddin BN

    更新日期:2003-11-01 00:00:00

  • Orbital adherence syndrome secondary to titanium implant material.

    abstract:PURPOSE:To report the association of extraocular motility restriction and/or eyelid retraction after orbital fracture repair using titanium. METHODS:Retrospective review of 10 consecutive patients who presented with diplopia and/or cicatricial eyelid retraction following the use of titanium implants for orbital fractu...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3181929b6e

    authors: Lee HB,Nunery WR

    更新日期:2009-01-01 00:00:00

  • The Revised Direct Transconjunctival Approach to the Orbital Floor.

    abstract:PURPOSE:To review common surgical approaches to the orbital floor and to evaluate the utility of canthal-sparing, single incision transconjunctival method. METHODS:A retrospective chart review of a consecutive series of patients who underwent transconjunctival, direct incision surgery without eyelid dissection or late...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/IOP.0000000000000659

    authors: Bernardini FP,Nerad J,Fay A,Zambelli A,Cruz AA

    更新日期:2017-03-01 00:00:00

  • Balloon canaliculoplasty for acquired canalicular stenosis.

    abstract:PURPOSE:Canalicular stenosis is a frequent cause of epiphora. Patients with canalicular stenosis often require timely insertion of bicanalicular silicone stents to prevent permanent and complete closure of the canaliculi. This study reports the use of balloon canaliculoplasty in conjunction with silicone tube intubatio...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3181eea303

    authors: Zoumalan CI,Maher EA,Lelli GJ Jr,Lisman RD

    更新日期:2010-11-01 00:00:00

  • "Pseudo-pseudochalazion": giant chalazion mimicking eyelid neoplasm.

    abstract::A 33-year-old man presented with a solid lesion encompassing the entire left upper eyelid. Multiple biopsies revealed lipogranuloma consistent with chalazion. The induration resolved after multiple triamcinolone injections. This is the only case report to our knowledge of a chalazion that involved the entire upper eye...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.iop.0000176266.14388.6b

    authors: Koo L,Hatton MP,Rubin PA

    更新日期:2005-09-01 00:00:00

  • Kindler syndrome causing severe cicatricial ectropion.

    abstract::A 32-year-old female with Kindler syndrome presented with a 5-year history of lower eyelid malposition, corneal exposure, and recurrent erosions. Severe anterior lamellar cicatricial changes were noted bilaterally, with bilateral lower eyelid ectropion and retraction. Tarsal eversion was noted on the left lower eyelid...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3181c4dff6

    authors: Lelli GJ Jr

    更新日期:2010-09-01 00:00:00

  • Orbital roof fractures: management of ophthalmic complications.

    abstract:PURPOSE:To review the clinical features and management of patients with orbital roof fractures. METHODS:Non-comparative, retrospective case review of 21 patients presenting with orbital roof fractures. RESULTS:The orbital roof fractures in our series resulted from motor vehicle accidents, blunt trauma, head injuries,...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.IOP.0000083646.20672.6B

    authors: Fulcher TP,Sullivan TJ

    更新日期:2003-09-01 00:00:00

  • Keratoconus unmasked by unilateral ptosis repair.

    abstract::Astigmatic changes have been shown to occur after ptosis repair due to the altered vector forces on the underlying cornea from the repositioned upper eyelid. The astigmatic change is usually transient, but it may affect a patient's vision for at least the first few months after surgery. The authors present a case of a...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e31821637b3

    authors: Sussenbach EC,Thomas DA,Patterson EG,Bogorad DD

    更新日期:2012-03-01 00:00:00

  • Subperiosteal Masqueraders as Compared to Subperiosteal Abscess: Contrasting Clinical Presentation and Radiographic Densities.

    abstract:PURPOSE:Subperiosteal orbital lesions are most commonly abscesses secondary to sinusitis but, in rare cases, may represent other processes. Here, the authors compare the clinical and radiographic presentation of subperiosteal abscesses and alternate subperiosteal processes ("masqueraders") in an effort to establish dis...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000001659

    authors: Dohlman JC,Habib LA,Cunnane ME,Yoon MK

    更新日期:2020-11-01 00:00:00

  • Proptosis in a Patient With Known Graft Versus Host Disease.

    abstract::A retrospective review of the medical reports of a patient who was undergoing treatment for graft versus host disease following bone marrow transplant for acute myeloid leukemia was conducted. The patient presented with persistent ocular irritation and injection. For an unclear period of time, he developed proptosis a...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000001469

    authors: Tan L,Hwang W,Looi A

    更新日期:2019-11-01 00:00:00

  • Age, gender, and interracial variability of normal lacrimal gland volume using MRI.

    abstract:PURPOSE:Aimed to evaluate normal volume of the lacrimal gland in patients of different age groups and race. METHODS:All MRI studies of the brain that were done between June 2012 and April 2013 were examined. Lacrimal glands were identified using fat-saturated fluid-attenuated inversion recovery (FLAIR) images, and the...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000117

    authors: Bukhari AA,Basheer NA,Joharjy HI

    更新日期:2014-09-01 00:00:00

  • Surgical Treatment of Massive Teratoma of the Orbit.

    abstract::Orbital location of teratoma is extremely rare. The differential diagnosis can be difficult and they may be mistaken for other tumors as they may have both cystic and solid areas. The authors report a case of a 7-day-old neonate with a massive congenital orbital teratoma in which it was decided to apply a surgical tec...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000001581

    authors: Bojino A,Zavattero E,Gambella A,Gerbino G

    更新日期:2020-05-01 00:00:00

  • Anatomic position of the common canaliculus in patients with a large lacrimal sac.

    abstract:PURPOSE:To study the canalicular anatomy in patients with an enlarged sac secondary to nasolacrimal duct obstruction. METHODS:This study included 76 lacrimal drainage systems (LDS) of 41 adult patients with a palpable sac, which were visualized using posteroanterior digital subtraction macrodacryocystography. In 42 LD...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3181647d01

    authors: Yazici B,Yazici Z

    更新日期:2008-03-01 00:00:00

  • Prognosis for patients in a Korean population with ocular adnexal lymphoproliferative lesions.

    abstract:PURPOSE:To analyze the clinical features, treatment outcomes, and prognostic factors associated with lymphoproliferative lesions of the ocular adnexa in a Korean population. METHODS:Data from 69 patients treated for adnexal lymphoproliferative disease in the 12-year period from 1991 to 2002 were retrospectively evalua...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e318030b058

    authors: Yoon JS,Ma KT,Kim SJ,Kook K,Lee SY

    更新日期:2007-03-01 00:00:00

  • Orbitofacial Metastatic Basal Cell Carcinoma: Report of 10 Cases.

    abstract:PURPOSE:To explore the clinical features, management, and prognosis of metastatic basal cell carcinoma originating in the orbitofacial region. METHODS:Ten cases of orbitofacial metastatic basal cell carcinoma were identified by searching databases at 2 institutions from 1995 to 2015. A retrospective chart review was p...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000715

    authors: Branson SV,McClintic E,Ozgur O,Esmaeli B,Yeatts RP

    更新日期:2017-05-01 00:00:00

  • Alveolar soft-part sarcoma of the orbit: report of 2 cases with review of the literature.

    abstract::Alveolar soft-part sarcoma (ASPS) is a translocation-associated sarcoma that occurs most commonly in the lower extremities and rarely in orbit. Only 34 orbital cases have been reported in the literature, and it is often misdiagnosed due to its rare occurrence and nonspecific clinical findings. The optimal treatment re...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/IOP.0b013e318281ecb9

    authors: Kim HJ,Wojno T,Grossniklaus HE,Shehata BM

    更新日期:2013-11-01 00:00:00