THE MANAGEMENT OF SKIN TUMORS EXTENDED TO THE ORBIT
This paper focuses on presenting the experience of the authors on the management of orbital invasion from periocular skin malignancies. Material and methods: We reviewed 18 cases of skin tumors extended to the orbit regarding the initial location, clinical signs, diagnostic methods, the surgical treatment and reconstruction procedure, the tumor histology, as well as the postoperative outcome and complications. Results: The most encountered location of the malignancy was at the level of the inferior eyelid. The predominant histological type was squamous cell carcinoma, followed by basal cell carcinoma and glandular carcinoma. Thirteen of the included patients underwent orbital exenteration, with five necessitating an extended orbital exenteration to the neighboring structures. Various reconstructive procedures were used for closure considering the extent of the defect, ranging from split thickness skin graft, local and regional flaps, to microvascular free flaps. The overall postoperative results were favorable with accurate defect coverage and few complications. Conclusions: Orbital invasion by skin malignancies can be adequately managed by orbital exenteration and a closure method suitable to the extent of the postoperative defect, the patient’s age and comorbidities.
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