Prosthetic Rehabilitation Following Segmental Maxillectomy Confluent with an Orbital Defect Using a Hollow Orbital Prosthesis Retained Magnetically with an Obturator

Rathee, Manu; Chahal, Sujata; Alam, Maqbul; Jain, Prachi; Divakar, S; Singh, Sandeep

doi:10.4103/jwas.jwas_234_22

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…This process often involves the use of biocompatible materials such as titanium mesh or methyl methacrylate. [ 47 ] The primary objective is to restore the structural integrity of the orbit, which is essential not only to support the eye but also to maintain the correct separation of the orbital contents from adjacent cranial structures. This helps in preserving the function of the eye and maintaining facial esthetics.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of orbital tumors in a single center: Analysis and results

Reyes-Soto,

Carrillo-Hernández,

Cacho-Díaz

et al. 2024

Surgical Neurology International

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Background: Orbital tumors, arising within the bony orbit and its contents, present diverse challenges due to their varied origins and complex anatomical context. These tumors, classified as primary, secondary, or metastatic, are further subdivided into intraconal and extraconal based on their relationship with the muscle cone. This classification significantly influences surgical approach and management. This study highlights surgical experiences with orbital tumors, underscoring the importance of tailored surgical approaches based on the lesion’s site and its proximity to the optic nerve. Methods: This retrospective study at the National Institute of Cancer’s Head and Neck Department (2005–2014) analyzed 29 patients with orbital tumors treated with surgery, radiotherapy, chemotherapy, or combinations of them. Patient demographics, tumor characteristics, and treatment responses were evaluated using computed tomography (CT), magnetic resonance imaging, and positron emission tomography-CT imaging. Malignant tumors often required orbital exenteration and reconstruction, highlighting the study’s commitment to advancing orbital tumor treatment. Results: 29 patients (18 females and 11 males, age 18–88 years, mean 53.5 years) with orbital tumors exhibited symptoms such as decreased vision and exophthalmos. Tumors included primary lesions like choroidal melanoma and secondary types like epidermoid carcinoma. Treatments varied, involving a multidisciplinary team for surgical approaches like exenteration, with follow-up from 1 to 9 years. Radiotherapy and chemotherapy were used for specific cases. Conclusion: Our study underscores the need for a multidisciplinary approach in treating orbital tumors, involving various surgical specialists and advanced technologies like neuronavigation for tailored treatment. The integration of surgery with radiotherapy and chemotherapy highlights the effectiveness of multidimensional treatment strategies.

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Section: Discussionmentioning

confidence: 99%

Surgical treatment of orbital tumors in a single center: Analysis and results

Reyes-Soto,

Carrillo-Hernández,

Cacho-Díaz

et al. 2024

Surgical Neurology International

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Surgical Rehabilitation of a Continuous Orbital and Maxillary Defect from Rhino-Orbital Mucormycosis Utilising Digital Technology - A Case Report

Rathee,

Chahal,

Alam

et al. 2023

Annals of Maxillofacial Surgery

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Rationale: COVID-19 has led to a resurgence in cases of mucormycosis, especially the rhino-orbital form affecting the oral cavity, nasal, orbital and cerebral regions. Patient Concerns: The surgical treatment in this patient led to the exenteration of orbital contents and segmental maxillectomy of the affected side leading to facial disfigurement and inability to masticate. Diagnosis: A combined mucormycosis-associated oro-orbital defect was present leading to a communication between oral and orbital cavities. Treatment: Rehabilitation utilising digital technology for removable prosthesis was planned for the combined orbital and oral defect. Outcomes: The independent intraoral and orbital prosthesis reduced the mobility of the orbital prosthesis while performing functional movements. The advancements in digital technology led to the convenient and resilient fabrication of prostheses for large facial defects. Take-away Lessons: The prosthetic rehabilitation of a continuous orbital and oral defect with a hybrid of both digital and conventional means provided an aesthetic, feasible and financially sound solution to the patient.

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Prosthetic Rehabilitation Following Segmental Maxillectomy Confluent with an Orbital Defect Using a Hollow Orbital Prosthesis Retained Magnetically with an Obturator

Cited by 2 publications

References 10 publications

Surgical treatment of orbital tumors in a single center: Analysis and results

Surgical treatment of orbital tumors in a single center: Analysis and results

Surgical Rehabilitation of a Continuous Orbital and Maxillary Defect from Rhino-Orbital Mucormycosis Utilising Digital Technology - A Case Report

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