Exenteration of the orbit and repair by transplantation of the temporalis muscle

Reese, Algernon B.; Jones, Isaac H.

doi:10.1097/00006534-196112000-00015

Cited by 17 publications

(23 citation statements)

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“…[25][26][27][28][29][30][31][32][33][34] In this series the majority of reconstruction was done with split thickness skin grafting, as our institute typically uses this technique for exenteration when done alone. 35 In cases of extended orbital exenteration involving bone removal, flaps are more commonly used at our institute and there were four cases of local/regional flaps, and nine free flaps done for cases of extended orbital exenteration.…”

Section: Discussionmentioning

confidence: 99%

Orbital exenteration for advanced periorbital non-melanoma skin cancer: prognostic factors and survival

Gerring

Ott

Curry

et al. 2016

Eye

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Purpose To describe prognostic factors and survival outcomes in patients who underwent orbital exenteration for periocular nonmelanoma cutaneous malignancies. Methods The authors performed an institutional review board-approved retrospective review of all patients who underwent orbital exenteration for nonmelanoma periocular cutaneous malignancies at a tertiary care hospital system over a 10-year period. Patient demographics, tumor, and treatment data were recorded. Survival outcomes included disease-free survival (DFS) and overall survival (OS). Log-rank tests were used to test for difference in survival curves among various potential prognostic indicators, and multivariate analysis was performed using Cox's proportional hazards model. Results Forty-nine patients with an average age of 70.3 years were followed with a median follow-up of 17.5 months. At 2 years the OS was 78% while the DFS was 61%. The mean DFS for basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and sebaceous gland carcinoma (SGC) were 52.6, 39.2 and 28.1 months, respectively. Multivariate analysis demonstrated that only positive final surgical margin was predictive of worse outcome (P = 0.002). Recurrences were most frequent in the first 2 years. Conclusions Despite the relatively more aggressive nature of periocular malignancies that have invaded the orbit, orbital exenteration offers an overall 2-year DFS of 60%. BCC had the greatest mean survival time, however this was not statistically significant. We found worse prognosis with positive final surgical margins and recommend a multidisciplinary surgical approach to achieve complete resection when indicated.

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Section: Discussionmentioning

confidence: 99%

Orbital exenteration for advanced periorbital non-melanoma skin cancer: prognostic factors and survival

Gerring

Ott

Curry

et al. 2016

Eye

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“…Options include spontaneous granulation, skin grafting, or muscle flaps. Reese and others have used the temporalis muscle flap to fill the defect (Reese & Jones 1961). This procedure may be performed with skin graft or eyelid skin.…”

Section: Discussionmentioning

confidence: 99%

Survival after malignant tumors of the orbit and periorbit treated by exenteration

Mouriaux

Martinot

Pellerin

et al. 1999

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: In order to further assess the survival value of orbital exenteration in malignant orbital and periorbital tumors. Methods: The charts of 44 patients exenterated for a neoplasm of the orbit or periorbit were reviewed in a retrospective study. Results:The overall 4-year survival was 45%. 26 patients had free margins on histological examination and 24 patients had developed local recurrence or metastasis. Local recurrence or metastasis were significantly more common in the group with transected margins than in the group with free-margins (pΩ 0.01). Survival between the group of patients with local recurrence or metastasis and the group without local recurrence or metastasis showed statistically significant difference (pΩ0.0025). In contrast, survival between the group of patients with free margins and the group with transected margins did not show statistically significant difference (pΩ0.13). Conclusion: Surgical free margins section is a key element in successful cancer surgery but seems not the only prognosis variable.

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“…It has been suggested (Reese and Jones, 1961) that an artificial implant such as a 20 mm Told ball be placed in the apical cavity. We consider this to be unnecessary.…”

Section: Discussionmentioning

confidence: 99%

“…Further experience of this operation with refinements was described by Reese, 1958, and by Reese and Jones, 1961. Other forms of orbital implant after exenteration have been suggested (Gass, 1969) but depend upon the retention of eyelid skin, which in our opinion will often compromise adequate surgical removal of cancer of the orbital tissues.…”

Section: Introductionmentioning

confidence: 98%

Temporalis Transplantation after Orbital Exenteration

Crawford

Galbraith

1977

Aust N Z J Ophthal

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Exenteration of the orbit and repair by transplantation of the temporalis muscle

Cited by 17 publications

References 0 publications

Orbital exenteration for advanced periorbital non-melanoma skin cancer: prognostic factors and survival

Orbital exenteration for advanced periorbital non-melanoma skin cancer: prognostic factors and survival

Survival after malignant tumors of the orbit and periorbit treated by exenteration

Temporalis Transplantation after Orbital Exenteration

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